Transactions . red. Lumbarpuncture a few hours before death disclosed perfectly clearcerebrospinal fluid, normal in color, consistency and died on the seventeenth. Post-mortem of the skull was exceedingly thin in the temporal region,especially on the right side. On incising the dura a quan-tity of pus escaped. The pia over the entire right hemi-sphere was infiltrated and thickened and lymphatic spacesoutlined in pus with free pus between the sulci, especiallyin the fissure of Eolando, where a microscopic destructionon the surface of the brain, and the cortex was discer
Transactions . red. Lumbarpuncture a few hours before death disclosed perfectly clearcerebrospinal fluid, normal in color, consistency and died on the seventeenth. Post-mortem of the skull was exceedingly thin in the temporal region,especially on the right side. On incising the dura a quan-tity of pus escaped. The pia over the entire right hemi-sphere was infiltrated and thickened and lymphatic spacesoutlined in pus with free pus between the sulci, especiallyin the fissure of Eolando, where a microscopic destructionon the surface of the brain, and the cortex was point of origin of the septic meningitis appeared to befrom a focus of softening in the region of the right sphenoidcavity. Inoculations were made from the cerebrospinal fluidon gelatin, and serum glucose. After three days cultureswere negative. Microscopic examination showed poly-morphonuclear cells, mononuclear, and a few lymph percentage was not obtained. SEROUS AND SHPTIC MENINGITIS. 413. 414 PIEIICE. CASE II. B. W., admitted to the :\Iicliael Reese Hospital,October 10, 1910. Patient eoniplained of severe headache,with great physical depression, whicli had existed for five orsix days. The onset of the headache was ratlier sudden, andhe had vomited several times. Patient thought he had feverfrom the beginning of his tron})le, and felt very cold onceor twice. He gave no history of discharge from the ears. Physical Examination: General appearance is that of afairly well nourished man, lying in bed with head retracted,legs and thighs flexed, groaning with pain, which is referredto the frontal region. During the few hours he has beenin the hospital he has had projectile vomiting. Examinationof the left ear by means of a pledget of cotton showed thatthere was a slight amount of very foul secretion. Otoscopyrevealed cicatricial- adhesions bringing the malleus to thepromontory with a fistula in the posterior superior tenderness or swelling over the m
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Keywords: ., boo, bookcentury1800, bookdecade1860, booksubjectear, bookyear1868
