. Pédiatrie. . diagnostic possible presque à la fois. La caractéristique la plus importante du cours des enfants féverin est sa durée habituelle courte. Il dure souvent mais tendays ou deux semaines, et même des cas plus courts sont observés. C'est probablement la raison principale du pronostic favorable des auteurs de mostauthors, car dans les cas plus prolongés l'emaciation et la prostration générale sont le danger principal. Les manifestations mentales sont en règle générale différentes de celles des adultes de la thoséine. Holt dit que la typhoïde de la petite enfance peut être décrite comme une fièvre, caractérisée plus souvent par des symptômes nerveux que par l'intestin

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. Pediatrics. . diagnosis possible almost at once. The most important characteristic of the course of the feverin children is its usual short duration. It frequently lasts but tendays or two weeks, and even shorter cases are seen. This isprobably the chief reason for the favorable prognosis of mostauthors, for in the more prolonged cases the emaciation andgeneral prostration are the chief danger. The Mental Manifestations are as a rule different from thosein adults. Holt says the typhoid of early childhood may bedescribed as a fever, characterized more often by nervoussymptoms than by intestinal symptoms. The ordinary ty- 538 LOUIS C AGER phoid delirium is unusual. When delirium is present it isintermittent and is often of a more violent type. There may beparoxysms of terror in which it is difficult to prevent the patientfrom injuring himself in attempts to escape from some imaginaryperil. These attacks closely resemble a severe form of nightterror. More frequently there exists a condition of extreme. CHART SHOWING THE TEMPERATURE AND THE PULSE RATE IN CASE OFTYPHOID FEVER WITH INTESTINAL HEMORRHAGE. (No. 2. nervousness and fear without hallucinations. The patient willscream at the sight of a stranger and even members of the familycause mental distress. This is frequently accompanied with in-somnia, a symptom that may need radical treatment. The Heart in these mild cases does not appear to begreatly affected, hut if the fever is prolonged beyond two weeksthe myocardium soon gives evidence of degenerative changes. On TYPHOID 539 this account the pulse should be watched carefully, and it is im-portant to observe it for several minutes at a time and to makeseveral examinations during each visit in order that a beginningirregularity may not be overlooked. Complications and Sequelae.—All American writers agreethat complications and sequelae are rarer and of less dangerin children than in adults. Some French writers, on the otherhand, contradict this idea very emphatica

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