CASE No. 19
BELLE HINMAN, daughter of Prof. M. C. Hinman, Tully, N. Y.
Belle Hinman
Age 7.
Vaccinated July 25, vaccine “H.”
Commenced to complain Aug. 7,—12 days from vaccination.
Died Aug. 10.
First diagnosis, “Acute Indigestion.”
Final diagnosis, “Cerebro-spinal Meningitis.”
This little girl was also in perfect health and unusually well developed for age, both physically and mentally. She complained of feeling ill on Aug. 7 with symptoms indicating a digestive disturbance. The local physician called it acute indigestion. She soon lapsed into unconsciousness and never rallied. Expert counsel was called and case pronounced cerebro-spinal meningitis. A lumbar puncture disclosed in spinal column a clear fluid under normal pressure. Cultures were sterile; intra-spinous injection of the Flexner serum without beneficial effects. Paralysis was extensive, involving the throat; breathing labored and death due to respiratory insufficiency. Temperature elevated during entire illness. All symptoms were so exactly parallel to those of Cases 24 and 25 as to warrant the suspicion that this, too, was infantile paralysis.