A case of pneumococcal peritonitis / by J.H. Bryant.

  • Bryant, John Henry.
Date:
[1901]
Catalogue details

Licence: In copyright

Credit: A case of pneumococcal peritonitis / by J.H. Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Reprinted from the ‘Reports of the Society for the Study of Disease in Children’ VoL I, 1901. A CASE OP PNEUMOCOCCAL PERITONITIS. By J. H. BRYANT, M.D. Harriet S—, aged four years, was admitted into Guy’s Hospital under my care on May the 11th, 1901, for vomit- ing and abdominal pain. She had always enjoyed good health until the evening of May the 9tli, when she was seized with severe vomiting after supper. She, vomited about six times during the night. The sickness ceased on the following morning, but she appeared to be very ill, and would not take her food. On the morning of the 11th, as she was much worse, and had not taken any food, she was brought up to the hospital, and was at once admitted. She had not been sick since the evening of the 9th. The bowels were opened on the 10th, and the motion appeared to be natural. There was no discharge of blood or mucus from the rectum. On admission the pulse was 140 to the minute, the temperature 102-8° F., and the respirations 40 to the minute. She appeared to be vei’y ill, and had a drawn and anxious expression. The abdomen was tense, rigid, and very tender all over. There was no particular pain or tenderness in the right iliac fossa. There were no physical signs of pleurisy or pneumonia. I saw the child soon after admission, and came to the conclusion that she Avas suffering from acute peritonitis or diaphragmatic pleurisy, and I suggested the possibility of a pneumo- coccal infection on account of the absence of any localising symptoms of appendicitis or other diseases. Mr. Dunn saAv the child with me shortly afterwards, and decided