Abstract

The treatment given a patient with meningitis (Streptococcus haemolyticus) following mastoiditis which complicated scarlet fever is of interest, as it was followed by the unusual result of complete recovery. Surgical drainage of the mastoids was done. The value of repeated blood transfusions 1 to combat the strong hemolyzing influence of this type of infection was recognized, and that agent was used. Frequent spinal taps were done for the reduction of intracranial pressure. In addition to the aforementioned treatment, the following therapy was used: convalescent scarlet fever serum 2 both intravenously and intraspinally together with a derivative of sulfanilamide (prontosil) 3 intramuscularly and sulfanilamide by mouth. 4 REPORT OF CASE J. W., a boy 6 years old, was admitted to the scarlet fever ward of the Willard Parker Hospital on Oct. 28, 1936, the fifth day of his illness. Five days before coryza had developed, with malaise; on the following day a slight rash on

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