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May 15, 1909


Author Affiliations

Gynecologist to St. Vincent's Hospital and Surgeon to Hillman Hospital BIRMINGHAM, ALA.

JAMA. 1909;LII(20):1581-1582. doi:10.1001/jama.1909.25420460029002f

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The infrequency of reported cases in which cholecystitis has been observed as a complication of typhoid fever would lead one to believe this condition extremely rare, or that it might not have been looked for with the same vigilance as other complications. The post-typhoid cholecystitis, with at times calculus formation, has for some time been recognized as a frequent sequel of typhoid fever. Many of the cases must have been the result of an acute cholecystitis occurring during the attack of typhoid, the acute symptoms subsiding, leaving a chronic cholecystitis present. These patients with chronic cholecystitis are often operated on and the presence of the Bacillus typhosus demonstrated months or years after the attack of the fever. Then, if many survive the acute cholecystitis, which very likely resulted from the typhoid attack, it is quite reasonable to think that there are many who die from this cause during the course

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