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September 17, 1910

UNUSUAL SITE OF TYPHOID PERFORATION

JAMA. 1910;55(12):999-1000. doi:10.1001/jama.1910.04330120021008

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Abstract

History.—  July 8, 1910, J. H. M., a hoisting engineer, married, aged 37, came to see me, giving a history of trouble with his stomach. His temperature was 102.6 F., pulse 100. A diagnosis of typhoid fever was made and he was sent to the hospital, where he ran a very high temperature. He was put on a milk diet, given phenyl salicylate 2½ grs.) every three hours and sponged for temperature above 102.5. He was blue, so he was given whisky (½ oz.) after each sponging. Rose spots appeared on the fifth day in the hospital; on the seventh day he had a severe hemorrhage from the bowels. The patient was given morphin (¼ gr.), and all food withheld for forty-eight hours. He was given all the ice-cold normal salt solution that he would drink (he never made any complaint about it). In twelve hours his temperature dropped to

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