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This epidemic, which occurred among the babies in the Woman's Hospital and Infant's Home of Detroit, seems worth reporting, not only because of the relative rarity of this bacillus as a cause of infant diarrhea, but also because of the probable means of spreading the infection, and some unusual clinical features of the disease compared with other reported cases of infection by the same organism.
The babies affected belonged to three groups: (1) The older ones, between 1½ and 2½ years, who were able to walk, to eat some solid food and who were in the playroom during the day. (2) The comparatively healthy bottle-fed infants in the nursery. (3) Those who by reason of sickness or malnutrition needed especial care and were kept by themselves in the infirmary.
The milk given these children comes from two sources. The older children, and the better nourished of the younger ones, receive
COOLEY TB. AN EPIDEMIC OF INFANTILE DIARRHEA, APPARENTLY CAUSED BY THE BACILLUS PYOCYANETJS.. JAMA. 1908;L(8):607–608. doi:10.1001/jama.1908.25310340035002d