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Article
July 22, 1893

TYPHOID FEVER—A SYNOPSIS.Read in the Section of Practice of Medicine, at the Forty-fourth Annual Meeting of the American Medical Association.

Author Affiliations

UNION, KY.

JAMA. 1893;XXI(4):127-130. doi:10.1001/jama.1893.02420560023002e

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Abstract

I retain the old name in preference to the newer ones, as "enteric fever." This new name refers to a single lesion, which lesion, however constant, is not the cause, exclusive seat, or descriptive of the condition; but is plainly the result of a general process.

Nor is all the fever produced in or confined to the intestinal tract. Typhoid fever is a specified condition of the economy, with local modifications.

We shall consider the condition known as typhoid fever first, then the lesions which are results of the process producing that condition. The laws of "disease" in general are to be reached inductively, by generalizations of physiological facts supported by clinical phenomena and morbid anatomy.

These laws applied to the special conditions under consideration, are illustrated and supported by the phenomena and changes observed.

The fever is the result, and not the cause of the abnormal condition. Heat is

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