Epidemic Cerebrospinal Meningitis

Epidemic Cerebrospinal Meningitis

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 edition. Excerpt: ... forms after the fluid has been allowed to stand for a few hours. The gross macroscopic increase, however, is usually much smaller than in tuberculous meningitis. Chemical Examination.--The globulin content varies considerably at different periods of the disease. During the first week globulin is usually faintly positive. Sixteen of Draper and Peabody's were normal during the first week. I have obtained similar results a number of times. Only six of forty-three cases reported by these observers demonstrated a plus reaction (strong) during the first week. In the second week twenty out of forty-five cases showed a plus reaction; in the third week, sixteen out of forty; and in the fourth week, nine out of thirty. The reaction thus drops toward normal during and after the fourth week. Only five cases in the second week and three in the third week gave a negative globulin reaction. They report a strong globulin reaction in a case on the forty-sixth day of the disease. Fehling's reaction is positive in most cases, but I believe that it is of no significance. Pressure.--Pressure varies considerably with the degree of hydrocephalus. As a rule hydrocephalus is only moderate. The more marked hydrocephalus is usually seen in the cerebral forms of the disease. In severe, fatal cases with extreme stupor and pressure signs, hydrocephalus may be very pronounced. Ordinarily hydrocephalus is appreciably less than in epidemic meningitis and on the average about one-half that found in tuberculous meningitis. Cytology.--Cytology is the most important examination. The cellcount is increased markedly in the early stages of the disease, the number rapidly falling off as time advances. Draper and Peabody report that of forty-three cases in the first week...show more

Product details

  • Paperback | 102 pages
  • 189 x 246 x 5mm | 195g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236938372
  • 9781236938374