The diseases of infants and children . ng. Tubcrc, 1908, II, 4, 367. Fig. 173.—General Tiberculosis,Typhoid D., aged 5^^ years,colored. Jan. 8. In bed for. aweek with fever and debiUty. Isapathetic, weak, tongue coated. Nophysical signs in chest or fever suspected. Jan. 14,gradually increasing somnolence,slight, varying rigidity of limbs,leucocytosis 7410, negative Widalreaction; Jan. 1(5, undoubted slightsigns of consolidation in right Autopsy showed generalmiliary tuberculosis. 548 THE DISEASES OF CHILDREX becomes dry; the pulse and respiration are acc
The diseases of infants and children . ng. Tubcrc, 1908, II, 4, 367. Fig. 173.—General Tiberculosis,Typhoid D., aged 5^^ years,colored. Jan. 8. In bed for. aweek with fever and debiUty. Isapathetic, weak, tongue coated. Nophysical signs in chest or fever suspected. Jan. 14,gradually increasing somnolence,slight, varying rigidity of limbs,leucocytosis 7410, negative Widalreaction; Jan. 1(5, undoubted slightsigns of consolidation in right Autopsy showed generalmiliary tuberculosis. 548 THE DISEASES OF CHILDREX becomes dry; the pulse and respiration are accelerated; there is apathy,dullness, sometimes delirium and finally coma. The tympanites anilenlarged spleen may, with the continued fever and other synqitoms,strongly suggest typhoid fever (Fig. 173). In other cases the tomjiera-ture is almost too irregular for this disease, ami often only slightly , not at all elevated. No cause for the symptoms can befound. Temporary improvement may occur, althougli the enuiciation. Fig. 174.—General TtBEHcrLosis, Marantic Form. Final liRONCHOPNEUMONiA AND Miliary McL., aged 1 year. Said to have been ill for 6 months. Been siiCfcrinK hittcrlyfrom fever, loss of weight, slight coukIi, poor appetite and loose stools. —Greatly emaciated; anemic; enlarged cervical, axillary, inguinal and abdominal glands;possible slight impairment of percussion resonance, and harsh res[)iration; distendedabdomen. Later positive e\idence of pulmonary involvement. Had daily a moderatenumber of .soft or litiuid undigested stools. Death about 1 month later. Aulopsy.— bronchopneumonia of left lung and root of right lung; miliary tuberculosisboth lungs and of the spleen; tuberculous alteration of intestine; adenitis of mesenteric,retroperitoneal and bronchial glands. does not disappear nor the strength greatly increase. Finally some local-izing symptoms may develop, especially those of puhnonary conso
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