Recent statistics1 reveal a definite decline in the morbidity and mortality of typhoid fever in the larger cities of the United States. This decline, together with the atypical picture that many cases of typhoid fever present, favors the possibility that typhoid fever in such cases will be overlooked unless the physician remains fortified with the knowledge of what constitutes the typical picture. In adults this is a more or less familiar and well defined clinical entity. Typhoid fever in children,2 however, differs in some respects from typhoid fever in adults, and often the signs and symptoms presented in children may be entirely misleading.
In the four years from January, 1925, to November, 1928, inclusive, sixty-seven children ill with typhoid fever and ranging in ages from 10 months to 12 years were admitted to the pediatric ward of the Cook County Hospital. A study of the observations in their