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March 13, 1920


JAMA. 1920;74(11):734-735. doi:10.1001/jama.1920.26210110002007a

M. K., a girl, aged 11 years, whom I first saw, Nov. 3, 1918, in consultation with Dr. Paul E. Wesenberg, had been suddenly seized with epidemic influenza, October 28. In a few days there was evidence of pneumonia at both bases. November 3 there was well marked consolidation on the right side posteriorly. A similar condition soon showed on the left, and by the 7th the patient gave signs of massive consolidation of both lower lobes. The case seemed hopeless. Oxygen was used freely; the windows were kept wide open. Moderate doses of morphin, with large doses of atropin, were being tried out at one of the army camps, in cases of massive influenzal pneumonia. The patient was given 1/24 grain of morphin sulphate and 1/50 grain of atropin sulphate every four hours for a day, and every six hours the second day. Morphin was then discontinued and atropin

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