A Case of Typhoid Meningitis—Treated with Chloromycetin

_ yeaib I saw only tliree other cases of enteric ection diagnosed cinicalh' and serologically as para-typhoid. Details of the case.?Kanai, male, aged 16 eait, Bengali Hindu, was admitted to Tara ?K hospital in the evening of 19th May, 1953 1 i t ic listory 0f sudden rise of temp, with igor and severe headache. Duration 1 day. On Examination.?General appearance, face 11iec, dull and apathetic, eyes congested, emp. 103? (see chest p. 162). Pulse, slow (82). On 21st May temp. 102?, tongue coated with f6ai niaigin, constipation, throat congested, 01l!5lb en'ai'ged, rales in left lung. Appear ance aon admission but there were manifestations oxaemia as evidenced by delirium. On 24th May temp. 101.2?, spleen just palPa e, stiffness of neck and insomnia. Kernig's > igns doubtful, knee jerk and planter reflex absent. Lumber puncture, hazy C.S. fluid and under moderate pressure. Laboratory Findings.?1. Blood slide for -P. not seen.'" 2. Urine nothing particular. Total W.B.C. count on 1st examination it ^as 6300 per c.mm. blood and a few days later 1 c'roPPed to 5050. 4. Differential count, poly. ?53 /c, lympho 43.11%, eosino 3.53 per cent. wvios 2-83 per cent* 5? Aldehyde test ne?6idal test (1st week) neg. 7. Marris' atropine test did not accelerate the pulse over 12. 8. Hb. 14.7 Gms per 100 ml of blood. 9. C.S. uid macro, hazy. Protein contents (qualitative est) increased (-f-j_)# Globulin slightly incr-