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The purpose of the book is not definitely stated in the author's preface or foreword, and a reading of it does not make clear just why it was written. The first chapter discusses in broad, vague and general terms the subject chronic toxemia of various sorts, including acid toxemia. The second chapter deals in the same general fashion with chronic infectious toxemia. Some cursory remarks on streptococci make up chapter 3. The author believes that, of the infectious toxemias, the toxemia attributable to streptococci is most widespread and most important yet least well defined. Chronic streptococcic toxemia may lead to a life of chronic disability and invalidism from youth to old age. Its manifold symptoms appear during the three stages of the disease and are listed in chapters 4, 5 and 6. The symptoms which "the streptococcic child" (sic) and the older victims of streptococcic toxemia are likely to present
Chronic Streptococcal Toxaemia and Rheumatism. JAMA. 1936;106(13):1118–1119. doi:10.1001/jama.1936.02770130068034
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