Congenital Cystic Kidney

H. Green
1920 Boston Medical and Surgical Journal  
B. Robbins, who could find no evidence of scarlet fever and a diagnosis of toxic erythema was made. That night the temperature went to 105°and the white count to 32,000. The patient's condition seemed desperate. Suddenly at 1 a.m., he began to perspire and did so so profusely that his bed had to be changed three times during the night. At 9 a.m., the temperature was normal and remained so until discharge twelve days later. Patient has remained perfectly well ever since, has gained weight, and
more » ... ained weight, and shows no ill effects from his almost overwhelming but fortunately short-lived toxemia. The points of especial interest in this case are the following: a. Finding of a recently given turpentine enema free in the abdominal cavity, its entrance being through perforation in the cecum where a completely gangrenous appendix had been sloughed off. The question may, of course, be raised as to whether or not the turpentine enema did not actually produce the perforation or at least hasten it by several hours. b. Recovery from general peritonitis and three secondary hemorrhages occurring as late as the eighth, seventeenth, and twenty-first days after operation. c. Later finding of "virgin" peritoneum with no adhesions even after so severe a peritonitis. d. Unusually late, overwhelming, but short toxic erythema with sudden onset and equally sudden recovery.
doi:10.1056/nejm192006101822407 fatcat:yl3mhyucxjesrkaq5uq4m3b5ue