Three years ago, I reported under the title "Recurrent Vomiting"1 a number of cases in which there was a greater or less degree of hypoglycemia. Since that time, I have had occasion to see four more such cases, two of them fatal.
REPORT OF CASES
Case 1.—During infancy, a diagnosis of hereditary syphilis was made in D. S., a colored girl, aged 4 years, and the child was treated with a brand of sulpharsphenamine. The Wassermann reaction became negative by the end of the first course of six treatments, and thereafter remained negative. When she was 3½ years old, she had an attack of pneumonia which ran a short uncomplicated course. At this time her liver was found to be enlarged, but there was no mention of jaundice.On June 24, 1926, she suddenly began to vomit and had diarrhea. The following day, she was unable to retain anything,