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June 3, 1944


Author Affiliations

Kansas City, Mo.

JAMA. 1944;125(5):376-377. doi:10.1001/jama.1944.02850230056024

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To the Editor:—  I was interested in the editorial comment in the April 22 issue entitled "Aid to Diagnosis of Meningococcic Infections." This referred to the work of W. G. Bernard and A. C. Jordan which reported the presence of meningococci in smears from purpuric lesions.The presence of petechial and purpuric lesions in meningitis in the so-called spotted form of the disease is usually not a frequent occurrence except during certain epidemics. In the epidemic in Texas in 1912, which I reported, the incidence was less than 1 per cent. However, it is particularly important in this form of the disease to establish other aids in the diagnosis, and the findings of the authors is therefore a valuable one.The spotted form of the disease is an expression of the fulminating type of meningitis. This type is characterized by severe general sepsis in this early and often fatal stage

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