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STREPTOCOCCIC SEPTICEMIA OF HEMATOGENOUS ORIGIN IN A NEW-BORN INFANT

Joseph A. Ritter, M.D.; Nathan Ralph, M.D.
JAMA. 1933;101(10):771. doi:10.1001/jama.1933.27430350001008.
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Recently Dunham1 reported thirty-nine cases of septicemia in the new-born, fifteen of which were due to the streptococcus organism. Of the latter, fourteen were of the hemolytic group and one was of the nonhemolytic group. In three cases the mother's blood also harbored the streptococci. Dunham's fifteen cases and the eight she found in the literature terminated fatally. Hemorrhage did not occur in any of her cases of streptococcic septicemia, while in our case there was a terminal pulmonary hemorrhage sixteen hours after birth.

The report of this single case is of interest because of the hemorrhage encountered and because of the positive antemortem blood cultures obtained from the mother after positive postmortem cultures were obtained from blood in the heart and lungs of the infant. To show the hematogenous origin of the septicemia, we are including pertinent facts concerning the mother.

REPORT OF CASE  Mrs. A. N., a

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