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December 11, 1937


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JAMA. 1937;109(24):2006. doi:10.1001/jama.1937.02780500062029

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To the Editor:—  May I direct the attention of Drs. S. J. Hoffman and Maurice Schneider (Gonorrheal Sepsis in an Infant, The Journal, October 30, p. 1447) to a report by M. B. Cooperman (Gonorrheal Arthritis in Infancy, Am. J. Dis. Child.33:932 [June] 1927). This report covers an epidemic of gonococcic infection involving sixty-seven (of 182 new-born infants exposed). Of the sixty-seven infants, fifty-three developed joint infections, the remainder mucous membrane involvement. Forty-four of these infants (twenty-one boys, twenty-three girls) were observed by Cooperman. One infant developed gonorrheal ophthalmia on the sixth day. Otherwise first symptoms were not noted until the eighth or ninth day after exposure (i. e., after birth); elevated temperature, toxic rash, polyarthritis and superficial abscesses. By the eleventh day, diarrhea with purulent stools, and vulvovaginitis were noted. The only positive blood culture obtained, and this after ten days' incubation, was in a boy with

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