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To the Editor:
—After observing for many years the characters of the tongue in B. coli infection, I think these notes may have some practical interest. The tongue exhibits a strawberry punctate appearance. The more confluent and close the points or dots, the more serious the infection. On the contrary, they become more scattered and discrete as the infection subsides. They remain, however, while the infection continues. Case reports are not needed to prove this observation: it is enough to test it in a patient. If a bacteriologic examination of the centrifugalized urine is made, B. coli will be usually found. This phenomenon suggests per se the diagnosis, and if present in other conditions, one may be sure that there is also an associated colibacillary infection. In a Spanish textbook they speak of this tongue as typical of influenza. It is not so. When this kind of tongue is seen
Miró AP. APPEARANCE OF THE TONGUE IN B. COLI INFECTION. JAMA. 1927;88(6):424. doi:10.1001/jama.1927.02680320060031