Pneumococcus Peritonitis in Infancy and Early Childhood

Beaven, Paul W.

doi:10.1001/archpedi.1920.01910280107006

Arch Pediatr Adolesc Med

1920

DOI: 10.1001/archpedi.1920.01910280107006

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Pneumococcus Peritonitis in Infancy and Early Childhood

Paul W. Beaven¹

Abstract: Pneumococcus peritonitis is a rather rare disease among infants and young children. The great majority of the patients in the Babies' Hospital are under 2 years of age, although those up to 4 years are admitted. In the last thirteen years there have been treated 171 cases of general peritonitis of which nine have been proved bacteriologically to be of pneumococcus origin.This form of peritonitis has been well described by Jensen,1 Brunn,2Annard and Bowen,3 Rischbieth,4 Cameron 5 and Abt.6 It is not the purpose… Show more

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1922

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Review of the Literature on Respiratory Diseases From January, 1920, to June, 1921

Stimson¹

1922

Arch Pediatr Adolesc Med

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NEW YORK CITY PNEUMONIA Pathogenesis.\p=m-\The studies on experimental pneumonia of Cecil and Blake63 comprise an unusually important series of articles. These articles deserve a very careful reading as does also a single article by Cecil64 which gives a short and excellent exposition of the bacteriology and mode of infection of pneumonia. These investigators concluded that while the pneumococcus is the specific cause of lobar pneumonia, it is unable to initiate an infection of the normal mucous membranes of the upper respiratory tract, or to produce pneumonia following intravenous injection, but it must gain access to the lower respiratory tract by way of the trachea in order to cause pneumonia. Lobar pneumonia is therefore bronchiogenic in origin, the invasion of the bloodstream by pneumococci in this disease being secondary to the invasion of the lungs. The pneumococcus primarily invades the lung tissue at some point or points near the root of the lobe, and thence spreads throughout the lobe by way of the perivascular, peribronchial and septal tissues, and the lymphatic system. The alveolar structure

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Review of the Literature on Respiratory Diseases From January, 1920, to June, 1921

Stimson¹

1922

Arch Pediatr Adolesc Med

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The Occurrence of Chronic Intussusception in Young Children

Beaven¹

1929

Arch Pediatr Adolesc Med

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Probably no other symptom of childhood is more common than abdominal pain localized at, or just above, the navel. It corresponds to headache in adult life in the relative frequency of its occurrence, and often in its significance. This analogy, with some probability, is due to the fact that the chief center of the child's sympathetic nervous network lies in this location, which in early life has a more dominant r\l =o^\l e than at any other time. Whereas, in older patients the onset of disease is heralded by pain in the head, in children its initiation is frequently marked by pain in the abdomen. To distinguish such symptomatic pain from that significant of pathologic changes of the abdomen requires thoughtful consideration on the part of any practitioner, whether he is an internist, pediatrician or surgeon. Because of this fact, it does not seem inappropriate for me to discuss chronic intussusception, although it is a purely surgical disease, the major symptom of which is abdominal pain. FACTS RELATIVE TO INTUSSUSCEPTION IN GENERALAlthough it may occur at any age, intussusception is primarily a dis¬ ease of early life, 75 per cent of cases occurring during the first year. The vast majority are acute, but the subacute or chronic type does occur. The latter may also appear at any age, but it is seen characteristically in the second and third decades of life. Males are affected two or three times as often as females.1 The factors involved in the production of intussusception are unknown, but it seems that the most plausible theory is the one advanced by Clubbe 2 in his excellent monograph on this sub¬ ject. He expressed the opinion that while the bowel is performing its normal peristaltic movement, a constriction of the annular muscular coat occurs which may be purely local. If this constriction is greater than normal, the limit of physiologic invagination is exceeded, and the first degree of pathologic intussusception develops. If his surmise is correct, it helps to explain the predominance of this condition in infancy,

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Zur Operativen Indikationsstellung bei der Kryptogenetischen Pneumokokkenperitonitis der Kinder

Budde

1926

Klin Wochenschr

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Pneumococcus Peritonitis in Infancy and Early Childhood

Cited by 4 publications

References 0 publications

Review of the Literature on Respiratory Diseases From January, 1920, to June, 1921

Review of the Literature on Respiratory Diseases From January, 1920, to June, 1921

The Occurrence of Chronic Intussusception in Young Children

Zur Operativen Indikationsstellung bei der Kryptogenetischen Pneumokokkenperitonitis der Kinder

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