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May 5, 1888

FIFTY CASES OF SCARLET FEVER.Read before the Suffolk District Medical Society, Section for Clinical Medicine, Pathology and Hygiene, February 8, 1888.

Author Affiliations


JAMA. 1888;X(18):551-553. doi:10.1001/jama.1888.02400440011001c

I wish to present to the Section a short account of these cases, as an epidemic of this size always gives one an opportunity of making some interesting observations.

These cases occurred in the North End of Boston during the months of April to October.

Of these cases thirty may be characterized as of a mild type. Prodromal period short, usually twelve to twenty-four hours; vomiting almost always present; headache and malaise; usually more or less complaint of sore throat. In cases where an examination at the early stage was possible, I did not find the appearance of the throat sufficiently characteristic to warrant a diagnosis of scarlet fever merely from this symptom. In no case were convulsions seen. The period of efflorescence lasted from twenty-four hours to four days, rarely longer. Temperature not high. Many of the children wished to be about the house and were with difficulty kept