Penicillin in Subacute Nephritis
نویسنده
چکیده
S., female, age 4 years. Present complaints.?1. Swelling of the eyelids, face, abdomen, legs and forearms. 2. Irritative cough. 3. Intermittent attacks of fever. Origin, duration and progress.?About three months back the child got an attack of pain in the right leg and after five days of this attack swelling in the eyelids and legs was observed one morning. The swelling of the eyelids and legs almost disappeared after twenty days of treatment though the child continued to have pain in her right leg all this time. The swelling then increased and extended to abdomen and forearms as well. The irritative cough set in about 22nd February and has since then persisted. The fever was intermittent and never rose higher than 102?F. Past history.?The child had an attack of double pneumonia about two years ago. Previous medications.?Iron diuretic mixture, alkaline diaphoretic mixture, and neptal tablets were all tried. The cedema with administration of neptal tablets increased considerably. I was called to see the case on 5th March. Examination.?Face swollen more so in the region of eyelids. Conjunctiva pale; nails pale. Tongue clean and moist. Throat congested. Skin?shiny and tight over face, legs and abdomen. Pitting on pressure on the dorsum of
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