. The American journal of roentgenology, radium therapy and nuclear medicine . mptomsgiven of this condition, and, to quoteJohnson again, The picture is often oneof an intense and rapidly fatal sepsis, inthe face of which surgery finds itself quitehelpless. Female, aged fifteen, white, height5 ft. 6 in., weight approximately 85 lbs. Past History. Patient has had mumps,measles and whooping-cough. No scarlet Suppurative Osteomyelitis of the Left Side of the Pelvis 209 fever, or any other serious illness. Nohistory of pulmonary disease, save anacute attack of influenza two years ago,moderate in s


. The American journal of roentgenology, radium therapy and nuclear medicine . mptomsgiven of this condition, and, to quoteJohnson again, The picture is often oneof an intense and rapidly fatal sepsis, inthe face of which surgery finds itself quitehelpless. Female, aged fifteen, white, height5 ft. 6 in., weight approximately 85 lbs. Past History. Patient has had mumps,measles and whooping-cough. No scarlet Suppurative Osteomyelitis of the Left Side of the Pelvis 209 fever, or any other serious illness. Nohistory of pulmonary disease, save anacute attack of influenza two years ago,moderate in se\erity and lasting ten days. Family History. Mother living andwell. No history of miscarriages. Fatherdied of pneumonia. Two sisters and onebrother li\ ing and well. Hygienic conditionsof residence normal. Present Illness. On June 25, 1921,patient began to complain of pain in leftbuttock and inability to use the leg toany great extent. This condition rapidlygrew worse; on June 27th the patient wasnot able to use the limb at all. She wasthen put to bed; temperature 105° Osteitis of left side of pelvis. Shortly afterward she became delirious, butduring the entire delirium did not attemptto use either lower extremity or to moveherself about in bed, but tossed her headfrom side to side and attempted to rise onher right elbow. The blood was examined for malariaand for typhoid fever—both tests tentative diagnoses were ptomainepoisoning and peritonitis, probably due toa ruptured appendix. The abdomen wasmarkedly distended and rigid, and verypainiul to palpation. During this time sheexpectorated a moderate amount of blood. At the end of ten days the temperaturetell to ioo°F. in the morning with eveningrises to 103°, and the delirium abdomen became less tender and thedistention lessened. About this time, therewas swelling over the external condyle of the right elbow, which was tender and redand the presence of fluid was local anesthesi


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