Abstract

Recovery from streptococcic meningitis rarely occurs. Kolmer1stated that the mortality is almost 100 per cent. In a series of thirty-three cases from the University of Michigan Hospital,2there was only one recovery. During the past fourteen years there have been fifty-seven verified cases of streptococcic meningitis in the wards of the Cincinnati General Hospital. The probable etiologic factors in this series are found in the table. Treatment in these cases consisted chiefly in draining the source of infection when this was possible, repeated lumbar punctures and the injection of antistreptococcus serum intravenously and in some cases intraspinally. In two instances a rubber catheter was sutured into the cisterna magna to provide permanent drainage. Only one of the patients in this series recovered (case 1). REPORT OF CASES Case1.—A white girl 6 years of age was admitted to the Cincinnati General Hospital on Aug. 14, 1926, immediately

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