INFLAMMATION OF GALL-BLADDER DUE TO TYPHOID BACILLUS.

The occurrence of a cholecystitis due to the bacillus of typhoid fever is now well known. Usually it concerns rather superficial processes, but occasionally the cholecystitis may assume a suppurative and even gangrenous character as, for instance, in the case described by V. Wunscheim (Prag. Med. Woch., 1898) which developed during the course of the fatal typhoid attack and in which the bacteriologic examination showed the typhoid bacillus to be present in the gall-bladder and the biliary passages, and the typhoid bacillus and yellow pus coccus in the circumscribed peritoneal exudation over the gall-bladder. The staphylococci were found only upon the peritoneal surface of the bladder, and hence it may be assumed that they represented a secondary invasion from the lumen of the intestine. In another case described by Imhofer a peritonitis developed suddenly, four weeks after the end of an attack of typhoid fever, in a woman aged 40.