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January 19, 1918


Author Affiliations

Kansas City, Mo. Fellow of the American College of Surgeons

JAMA. 1918;70(3):154. doi:10.1001/jama.1918.26010030001009a

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July 23, 1916, I was called in consultation by Dr. Chett McDonald to see a man, aged 23, who complained of very frequent and painful urination, with much tenesmus. He gave a history of venereal sore, diagnosed chancroid, two years before, and gonorrheal infection of the urethra beginning a year later and persisting to the date of consultation. He had been in the Navy and had been sent to the hospital at Great Lakes. He stated that he had had two negative Wassermann tests and had been under treatment while there, and later at Bremerton, Wash., with sounds, irrigations of permanganate, and instillations of silver nitrate. He had obtained his discharge from the Navy, and was at the home of his parents.

There was a scar of the glans where the chancroid had been. There was a slight purulent discharge from the urethra, and urination was followed by a mucous

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