The medical diseases of children . Fig. 43.—Posterior Basic Meningitis : showing Opisthotonos, Rigidity,and Emaciation. thrown far back, and limbs rigid; the legs are usually in a positionof extreme extension, and the arms either extended or flexed ;the fever is often very irregular in type ; convulsions are common,. Fig. 44.—Posterior Basic Meningitis : showing Opisthotonos and Emaciation. and there is great wasting (Figs. 43 and 44). It must, however,be mentioned that occasionally the disease runs a very much quietercourse, in which the child appears only to be drowsy and partiallyunconsciou
The medical diseases of children . Fig. 43.—Posterior Basic Meningitis : showing Opisthotonos, Rigidity,and Emaciation. thrown far back, and limbs rigid; the legs are usually in a positionof extreme extension, and the arms either extended or flexed ;the fever is often very irregular in type ; convulsions are common,. Fig. 44.—Posterior Basic Meningitis : showing Opisthotonos and Emaciation. and there is great wasting (Figs. 43 and 44). It must, however,be mentioned that occasionally the disease runs a very much quietercourse, in which the child appears only to be drowsy and partiallyunconscious, and the real nature of the condition passes unrecognized. 198 INFECTIVE DISEASES Towards the close of the active stage of the disease a purulentnasal discharge commonly develops. It is probably wise to treatthis discharge as mildly infectious (p. 201). A lumbar puncture reveals that the cerebrospinal fluid is underpressure, and is slightly turbid after the first dav of the disease. Ona microscopical examination, a large number of polymorphonuclearleucocytes are seen, many of which contain the diplococcal organismswhich may be grown easily on various media. After two or threeweeks, the fluid becomes clearer and contains fewer cells, most of whichare lymphocytes, and a few swollen, vacuolated and dead dipl
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
