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—N., a student, aged 19, had always been in good health. He denied venereal disease or recent exposure of any kind. Jan. 2, 1918, the day before his departure from his home at Sheridan, Wyo., to attend a college in Massachusetts, he visited a dentist to have his teeth cleaned. He reported that the dentist was so rough that his mouth bled in several places after the treatment. Within twenty-four hours he had a great deal of pain and a burning sensation in the buccal portion of the lips, and within forty-eight hours his throat was sore. Sixty hours after the treatment his lips were swollen and painful, and vesicles formed at the corners of the mouth. He could not swallow anything but the blandest of liquids, and even warm water hurt his throat severely. I saw him four days after the trouble began —five days from the time
Mayhew JM. GONOCOCCUS INFECTION OF THE MUCOUS MEMBRANE OF THE ORAL CAVITY. JAMA. 1918;70(17):1223–1224. doi:https://doi.org/10.1001/jama.1918.26010170005012c
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