Abstract

Instances of recovery from pneumococcus meningitis are admittedly exceedingly few. Kolmer<sup>1</sup>goes so far as to say that the mortality of acute diffuse purulent pneumococcus meningitis and streptococcus of otitic or nasal origin is more likely to be 100 per cent, when treatment consists of the usual methods of spinal puncture and intraspinal injections of antistreptococcus and antipneumococcus serum. He is frankly skeptical of the few reported recoveries in cases of pneumococcus meningitis, for in his own experience he was unable to accomplish much more than prolonging life. And then again, in two patients who recovered from so-called pneumococcus meningitis who came under his observation, a bacteriologic study disclosed the meningococcus organism as the causative agent. Thus he concludes that many of the reported cures in pneumococcus meningitis were instances of mistaken diagnosis. But a careful survey of the literature yields a small series of cases in which reliable

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