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September 10, 1904


Author Affiliations


JAMA. 1904;XLIII(11):737. doi:10.1001/jama.1904.92500110003a

Woman, aged 35, unmarried, presented herself at my office with a temperature of 102.5 F. and a history of bronchi is. vomiting and general malaise. She was at once sent to Lane Hospital. In a few days the case was diagnosed typhoid fever. Enlarged spleen, "pea soup" diarrhea and abdominal spots manifested themsehes, Widal reaction being negative; finally. with interval of several days, a positive Widal was obtained, thus clinching diagnosis. On January 20 there was a pronounced uterine hemorrhage; prior to this the temperature was 103.5, shortly followed by a drop to 100. with subsequent rising. A careful bimanual pelvic examination excluded any lesion, and close questioning and absence of characteristicodor eliminated the mens'rual flow. All efforts to check the hemorrhage were futile. After two days it ceased spontaneously. About the twentieth day the temperature

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