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November 2, 1918


JAMA. 1918;71(18):1510. doi:10.1001/jama.1918.02600440062019

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To the Editor:  —In a number of cases of influenza and influenzal pneumonia, seen both in my private practice and at the Alexian Brothers' Hospital, I have used a treatment from which my results have been most satisfactory.The clinical course of the condition may be divided for convenience into three stages. The first lasts from three to four days, and is characterized by chills, fever, muscular pain, etc. The second is of rather uncertain duration, and is characterized by involvement of the respiratory system varying in degree from a slight catarrhal condition to the involvement of a large area of one or both lungs. The third is characterized by disturbances of the circulatory system, dyspnea and cyanosis.In the treatment, the patient receives as soon as possible from 10 to 20 c.c. of a saturated solution of quinin hydrochlorid. This is given intravenously and is repeated once or twice

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