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April 27, 1912


Author Affiliations

Galveston, Tex. Demonstrator of Surgery, University of Texas

JAMA. 1912;LVIII(17):1282. doi:10.1001/jama.1912.04260040298019

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History.  —O. S., German, aged 24, a laborer, came from Mexico to Galveston three weeks before the time of examination. lie had lived in Mexico for six months previously and during this time had had little work to do and lived as a tramp, sleeping out of doors, lie said that the flies were very bad, and that many times he was bitten by them; while bathing in a stream he was bitten on the end of the penis a little over a mouth prior to his visit. A little blood exuded from the bite and swelling soon followed. Since that time there had been a slight swelling of the dorsum of the penis, just behind the corona of the glans. A small scab would form over the bite and then come off, with a brown fluid exuding. This was repeated at frequent intervals. He had suffered continuous pain in

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