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March 3, 1888


JAMA. 1888;X(9):280-282. doi:10.1001/jama.1888.02400350028010

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Dear Sir:  —In The Journal of January 28 your correspondent in Cincinnati describes the typhoid fever prevailing in that section, during the last summer, as differing in symptomatology from the fever described in text-books. The general run of the disease as it occurred here during the spring, summer and autumn of 1887 presented about the same symptoms as given in the article referred to. The temperature, always high at the beginning, 104°-105.5°, would either gradually decline to normal within the first ten days or, dropping to 102°-103°, remain at this for one or two weeks. Headache and backache were the most prominent symptoms complained of by the patients, many tracing the latter directly to some exertion, and asking for relief from a "lame back." These symptoms were always accompanied by a general feeling of lassitude. During prevalence of the cold weather, both in spring and autumn, bronchitis was a common

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