January 5, 1907


JAMA. 1907;XLVIII(1):53. doi:10.1001/jama.1907.02520270059005

Many seemingly uncommon conditions as they are segregated by the pioneer clinician and attain prominence in medical journals become relatively common. This has been the history of many diseases, and this, we think, is what will happen with regard to the so-called "typhoid spine." Described first, we believe, by Gibney of New York in the late eighties of the last century and later emphasized by Osler, the literature on the subject increased to such an extent that last year Fluss was able to collect nearly fifty cases. This number is, of course, small, but no one who has worked with typhoid cases, and what general practitioner has not, will believe that it accurately represents the frequency of the condition. Doubtless many instances are still overlooked or misinterpreted, and many of the recognized examples do not get into the journals.

The most prominent features of the disease are the spinal pain

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