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July 21, 1923


JAMA. 1923;81(3):212-213. doi:10.1001/jama.1923.26510030004013d

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In view of the rarity of yeast meningitis and the fact that it is seldom diagnosed during life, it seems advisable to publish a brief preliminary report of a case now under observation.

A boy, aged 16, developed a severe headache with vomiting after eating a large amount of chocolate and pie, May 15, 1923. He complained also of weakness and dizziness. His family physician (Dr. Shapiro) was consulted, May 19, and suitable treatment was given, but the headache and vomiting persisted. A few days later, May 23, the patient was sent to a sanatorium, where he was under careful observation. Various diagnoses were considered, such as a subacute attack of meningitis, either tuberculous or meningococcic in origin, encephalitis, and brain tumor, the last being suggested on account of the marked papilledema. During this period the temperature was normal most of the time. The mental condition was clear except for

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