Pneumococcal Peritonitis: With Report of a Recovery with M. & B. 693

ariri eiles ?f 46 cases with 86 per cent mortality, pother of 45 cases with 100 per cent criu^^y. Loutsch and Merigot (1934) des10 cases with a mortality of 40 per cent. Lipshutz and Lowenburg (1926) report 23 cases of pneumococcal peritonitis and streptococcal peritonitis in children under 6 years of age, each with a mortality of 100 per cent. Newell (loc. tit.) states that in the literature the mortality /of pneumococcal peritonitis averages from 40 per 1 cent to 65 per cent and the 36 cases of pneumococcal peritonitis which he reports had a mortality of 61.1 per cent. Pathogenesis.?The usual classification of the disease is into primary, or idiopathic, and secondary. In the secondary form the focus of origin is known, whereas in the primary the evidence on this point is conflicting. The portals of infection may be :? (i) the female genital tract, (ii) upper and lower respiratory tracts, including the middle ear, (Hi) the intestinal tract.