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January 4, 1913


Author Affiliations

Resident Physician, State Institutions HOWARD, R. I.

JAMA. 1913;60(1):9. doi:10.1001/jama.1913.04340010011005

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In August and September dysentery makes its appearance, and is quite apt to be epidemic in prisons, jails, almshouses, asylums and other state institutions.

When epidemic the disease is found in all its forms, from the cases of loose, frequent mucous stools to the scraped-meat, bloody dejections. The latter cases are usually found in the demented, who are as a general much debilitated, and in the aged, whose assimilative and recuperative powers are low, and whose arteriosclerosis extends not only to the radial and temporal arteries, but to the finer vessels which supply the intestinal viscera. In cases of marked arteriosclerosis stupor is a prominent symptom, and the usual remedies do not appear to be of the slightest benefit.

In treating this disease during the past few years, I have exhausted the Pharmacopeia, going through the list of drugs from Squibb's diarrhea mixture to the many others opium formulas.

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