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The question of the date when the influenza epidemic reached Czechoslovakia has been especially studied by the Czech Prague Medical Faculty. Catarrhal conditions of the upper respiratory tract appeared in unusual frequency last November and December. About the same time two groups of epidemic conditions appeared. The first group of cases presented the clinical picture of catarrhal jaundice. They were accompanied by fever and in many cases showed catarrhal conditions of the upper air passages, but none of them presented the characteristic history of digestive disturbance previous to the appearance of the jaundice. The second group of patients had hiccup, which was annoying but was not accompanied by other symptoms that would explain the phenomenon. The cases of icterus were most frequent in November, the cases of hiccup in December. The first cases of true influenza could be definitely diagnosed around Christmas. The peak of the epidemic was apparently
PRAGUE. JAMA. 1927;88(14):1094–1095. doi:10.1001/jama.1927.02680400050026
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