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Article
May 14, 1904

GENERAL SYSTEMIC INFECTION BY THE DIPLOCOCCUS OF NEISSER COMPLICATING CHRONIC GONORRHEA.

Author Affiliations

U. S. Army General Hospital of the Presidio. SAN FRANCISCO.

JAMA. 1904;XLII(20):1288-1289. doi:10.1001/jama.1904.92490650022003

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Abstract

A case is herewith presented of gonorrheal pyemia, which I believe is the first authenticated one in the history of this hospital. This case presents a peculiar feature, interesting and instructive from a clinical standpoint, in that the microscopic examination of smears, and the cultures, show a pure gonococcus infection.

Patient.  —D. G. W., private, Company K, Eleventh Infantry, was admitted to this hospital, Jan. 15, 1904, complaining of pain and swelling in muscles of right side of neck, right arm, right leg, and left arm. No other symptoms were complained of, except slight temperature and coated tongue.

Previous History.  —Had pertussis when a boy; had typhoid fever six years ago, which was of three months' duration and quite severe; had mumps five years ago, no complications; had measles at Fort McPherson, Ga., three years ago, and malaria in Philippines in 1002. From these diseases he fully recovered and was in good health when he enlisted.

Present Trouble.  —In June, 1900, patient had a severe attack of gonorrhea, complicated by an epididymitis of the right side

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