. Medical and surgical reports . Second, because of the extremely high temperature,from which the child materially improved and lived fortwenty-one days. The child was brought into the hospital on the 13thday of May, L904, in the following condition: Richiticchanges of the hone- of the skull, humeri, radii, tibiae,and ribs. Bulging of the fontanelles which were wideopen, softening of the occipital bone and protuberance ofthe abdomen. The diagnosis at thai time was temperature was practically normal, but respirationhigh. On the fifth day after admission the child began tohave an ev
. Medical and surgical reports . Second, because of the extremely high temperature,from which the child materially improved and lived fortwenty-one days. The child was brought into the hospital on the 13thday of May, L904, in the following condition: Richiticchanges of the hone- of the skull, humeri, radii, tibiae,and ribs. Bulging of the fontanelles which were wideopen, softening of the occipital bone and protuberance ofthe abdomen. The diagnosis at thai time was temperature was practically normal, but respirationhigh. On the fifth day after admission the child began tohave an even temperature, which continued at not higherthan IOl* for a few days and then receded. Then followed a period of almost normal temperature, with occa-sionally a day of high temperature, 104°. Then followeda period of several days in which the temperature wasuniformly between 10] and 102°. During all of thistime the child did not cough much and did not seem Vivyill. There was. however, an area of dullness in the lower ... ... right lung. It began to be evident that the child wasprobably tubercular, although ii would be an extremestatemenl to say thai ii bad broncho-pneumonia. Losingweighl rapidly, the abdominal walls becoming so thin asto show clearly all intestinal movements. ddie temperaturegradually rising on the average until on the L6th of June itreaches L03 . June 17th, stupid, fontanollos bulgingstrongly and head retracted, dune 20th, temperaturereaches L04 , condition generally aggravated, dune. 23d,temperature L05 , marked spasticity and reflexes muchexaggerated. Babinsky reflex wanting, but on the leflside an Oppenlieim reaction. Left pupil is larger than theright. Respiration is grunting and in series with shortintermissions between. Not typical Cheyne-Stokes. Breath-ing over the chest harsh hut no consolidated 24th, conditions much the same, temperature risingand remaining high during the day, being thehighest, dune 25th, temperature lo
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