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January 26, 1918


JAMA. 1918;70(4):237. doi:10.1001/jama.1918.02600040035013

Unfortunate as it is that cerebrospinal meningitis has been disturbingly prevalent in some of the cantonments, it seems probable that our knowledge of the disease will be increased as a result of the intensive study that has been made possible by the outbreak. Competent men are actively engaged in the diagnosis and treatment of this malady, and new observations of importance have already been made. The discovery of still other facts may with confidence be predicted.

In the effort to arrive at a positive diagnosis earlier in the disease than has heretofore been considered possible, attention has been focused, as noted by Herrick,10 on the petechial exanthem, which, when carefully looked for, is found to appear very early, indeed, earlier than either Kernig's sign or Brudzinski's sign, and before rigidity of the neck or recognizable changes in the cerebrospinal fluid. The old name for the disease, "spotted fever," has

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