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September 9, 1899, Vol XXXIII, No. 11 >
ARTICLE | September 9, 1899

EXTRAINTESTINAL INFLAMMATORY LESIONS CAUSED BY TYPHOID BACILLUS.

JAMA. 1899;XXXIII(11):675. doi:10.1001/jama.1899.02450630051012.
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W. T. Howard, Jr.,1 points out that among the many typhoidal and post-typhoidal inflammatory lesions in various extraintestinal organs, a considerable number are now known to be caused by the bacillus typhosus, either alone or mixed with other bacteria. He reports three cases of this sort, and states that he has been able to collect 144 cases from the literature, in which the typhoid germ was present in inflammatory foci outside of the intestines; in 20 other cases mixed infections were present, making a total of 164. While some of the older cases are open to doubt, in all the recent ones the Widal test was applied, and in consequence the diagnosis is conclusive. The typhoid bacillus is, therefore, a frequent and important cause of the complications and sequelæ of typhoid fever; in some cases it also causes infectious processes without the necessary presence of typical lesions.

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