Medical and surgical report of the Presbyterian Hospital in the City of New York . 255 A REPORT UPON MALIGNANT ENDOCARDITIS. growing worse. Neck very rigid. Kernigs sign is present. Fluidfrom lumbar puncture: 23 of very slightly cloudy fluid, with shghtwhite stringy sediment. Microscopical Examination : Some polynuclearleucocytes and lymphocytes; a little fibrin, a considerable number ofcocci; these are almost entirely arranged in pairs or short chains; manyhave a lance shape. They are extracellular and are probably pneu-mococci, but positive diagnosis can only be made from
Medical and surgical report of the Presbyterian Hospital in the City of New York . 255 A REPORT UPON MALIGNANT ENDOCARDITIS. growing worse. Neck very rigid. Kernigs sign is present. Fluidfrom lumbar puncture: 23 of very slightly cloudy fluid, with shghtwhite stringy sediment. Microscopical Examination : Some polynuclearleucocytes and lymphocytes; a little fibrin, a considerable number ofcocci; these are almost entirely arranged in pairs or short chains; manyhave a lance shape. They are extracellular and are probably pneu-mococci, but positive diagnosis can only be made from : Amber, cloudy; specific gravity, 1020; acid; sugar, none; albu--min, four per cent, by volume. Microscopical Examination : Pus andepithelial cells; numerous hyaline and granular casts. Temperaturehas been continuously high—104° to 105°—with frequent chills. DiedJanuary 28. Autopsy.—Heart: Pericardium, normal. Valves: Mitral showspolypoid mass of vegetations, also a number of minute vegetationsscattered on its surface. Lungs: A number of minute nodules con-taining pus
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyo, bookyear1896
