Instances in which this condition is as widespread over the body as in the following case are not of frequent occurrence; another interesting point in this case was the rapid initial development of the emphysema. Nothnagel regards subcutaneous emphysema as a very grave complication in bronchopneumonia.
Patient.
—J. B., aged 16 months, with the exception of a slight cold last winter, had always been healthy.
Family History
—Both parents are living and in good health. An older brother and sister were recovering from the whooping cough. Father's mother died of phthisis.
Present Illness.
—I first saw the patient on June 4. The parents informed me that she had been suffering from whooping cough for about five weeks, but a day or two before I was called she developed a high fever with vomiting, and the cough altered in character.
Examination.
—This showed fine crepitant râles, general throughout both lungs, respirations