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This interesting monograph on Japanese flood fever by the professor of pathology at Niigata Medical College is a valuable contribution to our knowledge of a disease seemingly conveyed by a minute relative of the tick. The larval mites which transmit the infection do not, of course, bite the victim but simply implant the mouth parts in the skin. The author of this book has had a large share in working out the cycle of development of the akamushi, or particular mite that causes the Japanese river fever, and a full description of the organism is given in the book. There are also interesting details concerning clinical and pathologic studies and an interesting but inconclusive chapter on etiology. Japanese investigators have not yet succeeded in isolating the parasite. The book contains a bibliography of 186 titles and twenty-five well made plates. Altogether, the editors of the Medical Bulletin have rendered a
Studies on Tsutsugamushi Disease (Japanese Flood Fever). JAMA. 1927;88(5):346. doi:10.1001/jama.1927.02680310058040
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