The distressing uncertainty in regard to the etiologic factors leading to spontaneous gangrene1 appears to be exemplified in the following case.
REPORT OF A CASE
History.—The patient, a girl, was born in Milwaukee, on Dec. 8, 1922, of Italian parents, at full term, following a difficult labor assisted by a midwife. The weight at birth was 3 pounds (1,360 Gm.). There was paralysis of the upper part of the left arm, which gradually disappeared. The head was not deformed. The father and mother were living and well. There were no other children. Two miscarriages preceded the birth of this child, and no pregnancies occurred later. There was no history of epilepsy, insanity or feeblemindedness in the family. The child talked when she was 1 year of age and walked when she was 16 months old. She had scarlet fever and measles. Otherwise development was uneventful and normal until