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Mediterranean fever, or melitococcia, which was formerly called Malta fever, prevails on the borders of the Mediterranean. It attacks goats and is transmitted to man by the milk of goats and by cheese prepared from the milk. It is not widespread, but, unfortunately, is spreading. The consumption of goat's milk in France has increased very much of late years. It costs little to feed a goat, and she furnishes 600 liters of milk a year. A cow gives about 3,200 liters, but weighs 500 Kg., and the goat, 40 Kg. The goat thus furnishes fifteen times its weight in milk and the cow six times its weight. Cheese from goat's milk is held in high favor in certain regions, but when it is fresh it contains an abundance of the melitococcus in a virulent state. Now that the cheese is being exported more and more, occasional cases of
PARIS. JAMA. 1926;87(14):1140–1141. doi:10.1001/jama.1926.02680140058022
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