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February 12, 1927


Author Affiliations

From the University Surgical Service, Cleveland City Hospital.

JAMA. 1927;88(7):475-476. doi:10.1001/jama.1927.92680330001010a

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The four cases reported here are the first to be reported from this vicinity. Two of the cases emphasize the fact that the patient may first present himself to the physician long after the acute febrile stage, complaining only of tender swellings along the course of the lymphatics or in the lymph glands. All the cases were verified by agglutination tests done at the Hygienic Laboratory, Washington, D. C.

Case 1.  —E. D., a white man, aged 40, employed as a market man, handled, among other things, wild rabbits, which he dressed himself. The patient complained of not feeling well, Dec. 7, 1925, and went to bed the next day. At this time he had fever, chills and sweats, headache, and severe pains in the back. There was pain in both axillae. Prostration was fairly marked. The temperature was 103 F.; the pulse, 84. The throat was moderately injected,

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