Repeated stool and urine cultures have been negative for Salmonella suipestifer. The patient's shoulder was immobilized for three weeks. The swelling has decreased and the patient is improving gradually.The serum of the patient's parents was tested for agglutinins for Salmonella suipestifer. The father's serum was negative, but the mother agglutinated the organism isolated from the patient in a dilution of 1: 80. The family live in the country but do not keep pigs. BACTERIOLOGY The cultures isolated from these patients were gramnegative motile bacilli that fermented dextrose, man¬ like, maltose, rhamnose and xylose with the production of gas and failed to ferment lactose, saccharose, arabinose, trehalose and inosite. They all produced blacken¬ ing on lead acetate mediums. These organisms were not agglutinated or agglutinated only in low dilutions by paratyphoid serum but agglutinated well in serums produced by the injection into rabbits of group II Sal¬ monella suipestifer of human and porcine origin. They failed to agglutinate in immune serum produced by the injection of the specific phase of Salmonella suipestifer, group I. These cultures were identical with Salmonella
faith that in another decade or two this will be accomplished. I fully appreciate that there are mighty forces at work for the betterment of obstetric practice in America. Improved educa¬ tional facilities in our medical schools and training schools for nurses, the establishing of more and better maternity centers, maternity hospitals, prenatal and postpartum clinics and the educational facilities afforded child-bearing women are all factors that will inevitably result in the betterment of obstetric practice in America. When this comes about, the United States will rank with the nations that are making the best showing in maternal mortality.Palmer Findley, M.D., Omaha. MENINGOCOCCIC MENINGITIS IN EARLY INFANCYTo the Editor:\p=m-\InThe Journal, September 2, page 795, Dr. J. M. Ravid of New York refers to cases of meningitis in the new-born and in early infancy. We are aware of these case reports and of others in the literature on meningitis in very young infants. In our article in The Journal, July 22, page 272, we reported the occurrence of a case of meningococcic septicemia with meningitis in an infant, aged 22 days, with a diagnosis correctly made within twenty-four hours of onset, immediate, adequate serum therapy given by the most desired routes, and early recovery. Later on in the article we mentioned that our patient was "the youngest patient in whom the condition has been reported." Possibly this statement is ambiguous, but since our case report referred to early diagnosis, serum treatment and rapid recovery, we feel that our patient is the youngest on record. Although others are reported, we have been unable either in English or in foreign literature to find reference to any patient younger than 22 days, with com¬ plete recovery. All other cases except one have been fatal. In the latter a hydrocephalus developed, and we have been unable to find any reference to the future course of this case.Hydrocephalus developing, naturally, cannot be termed rapid recovery. We might mention also that morphologic, cultural, agglutinating and typing tests proved the cerebrospinal fluid organism to be a meningococcus of types 1 or 3.Alan Brown, M.D. (Tor.), Nelles Silverthorne, M.B. (Tor.), Toronto.EMERGENCY COMMITTEE IN AID OF DISPLACED FOREIGN PHYSICIANS To the Editor:\p=m-\Anunfortunate aspect of the present situation in Germany is that it has brought misfortune to many of her scholars. These include the physicians and surgeons in professional and in academic positions, who are being forced to leave the country and seem doomed to forfeit their carefully prepared careers and opportunity for carrying on research. To save their services for the common good, organizations in several countries of Europe are working to secure for them positions outside of Germany. A similar organization has been formed in this country, which will work in conjunction with those abroad. This committee is called the Emergency Committee in Aid of Displaced Foreign Physicians. Its form of organization and its methods are similar to those of the E...
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