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October 25, 1924


Author Affiliations

Kansas City, Mo.

JAMA. 1924;83(17):1332-1333. doi:10.1001/jama.1924.26610170002016b

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A man, aged 57, was referred to me by Dr. J. F. Hassig at St. Margaret's Hospital, with a complaint of worms in the nose. When I first saw him (Fig. 1), which was seven days after the first sensation of activity within the nose, he presented the exact picture of facial erysipelas. Over the bridge of the nose was a dark red area almost ready to break down. The nose, which was naturally quite high and large, was swollen and a glossy red. There was a profuse lacrimation, and the eyes were swollen nearly shut. The patient was semidelirious, with a pulse of 94 and a temperature of 101.6. It was impossible to get any history from him. He said that his head hurt, pointing to his nose and forehead, and he was too weak to sit up. He had been unable to sleep for three nights on account

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