In the past few years I have observed several cases of pertussis in which paroxysmal sneezing had partially or entirely taken the place of the usual spasmodic cough. As this symptom is not generally recognized, it was considered advisable to publish two case histories.
REPORT OF CASES
—M. J., a colored girl, aged 1 year and 8 months, seen in the Babies and Children's Dispensary, Cleveland, July 8, 1926, coughed considerably, had bronchial râles and registered a temperature of 37.6 C. (99.6 F.).July 15, the cough was severe; the pharynx was injected, and there were large bronchial râles and a temperature of 37.3 C. (99.1 F.). A diagnosis of bronchitis was made. The patient vomited four times daily. She had a good appetite. The mother stated that the child did not whoop. The cough was "hard" and vomiting occurred during examination but there was no suggestion of