. Medical and surgical reports. Patient became steadily worse after admission. March 8, temperature105° F., pulse 160, respiration 85; pulse weak, respiration shallow. Post-mortem examination thirteen hours after death showed numerousfibrous adhesions in both pleural cavities, mucopurulent bronchiolitis, andareas of atelectasis. Case 2 ().— Female, 2 years 9 months old. Admitted March 18,1912; died March 19, 1912. Family history negative. Past History.— At age of 5 months had diphtheria, otitis media, andabscess of neck. Two months before admission had measles and was illfor 2 weeks. Has


. Medical and surgical reports. Patient became steadily worse after admission. March 8, temperature105° F., pulse 160, respiration 85; pulse weak, respiration shallow. Post-mortem examination thirteen hours after death showed numerousfibrous adhesions in both pleural cavities, mucopurulent bronchiolitis, andareas of atelectasis. Case 2 ().— Female, 2 years 9 months old. Admitted March 18,1912; died March 19, 1912. Family history negative. Past History.— At age of 5 months had diphtheria, otitis media, andabscess of neck. Two months before admission had measles and was illfor 2 weeks. Has been definitely exposed to pertussis several times duringpast 2 months. Present Hlness.— During convalescence from measles patient began tocough and whoop. Complained of sore mouth. One week ago beganto have high fever with rapid breathing, loss of appetite, and fever atnight. Has been gradually growing worse. Physical Examination.— Patient is cyanotic and has frequent paroxysmsof coughing followed by vomiting. Plate:. ^f0^g&i>tt


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