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August 7, 1926


JAMA. 1926;87(6):407. doi:10.1001/jama.1926.92680060003009b

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This case is of unusual interest because of the size of the foreign body and the length of time it had been tolerated in the esophagus.

A man, aged 65, who was syphilitic and an habitual user of alcohol, ate a large oyster stew, Dec. 4, 1925, and a few hours later went into a. cafe and ordered two dozen fried oysters. While waiting to be served he had a severe choking spell for several minutes, when the trouble subsided; but he was unable to eat and went home. He continued to have considerable difficulty in swallowing, breathing and talking, but had no pain. A day or so later a physician made a diagnosis of possible laryngeal diphtheria and gave antitoxin, but the patient continued having difficulty in breathing, talking and swallowing, and could take only liquids.

January 5, I found him talking huskily and

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