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October 22, 1927


JAMA. 1927;89(17):1429-1430. doi:10.1001/jama.1927.02690170053018

The parasitic stomatitis popularly known as thrush is generally regarded as readily amenable to treatment and easily eradicated. The disease is readily detected and the etiologic agent, the fungus Oidium albicans, is well known. The incidence of thrush is most common in young infants, a feature that helps to focus attention on the most probable places of its occurrence. Despite the fact that clinically thrush is commonly regarded as an innocuous infection, readily curable or self-limited in duration, recent experiences have served to modify this view. Thus the persistence of an epidemic of thrush in new-born infants, which developed and spread in spite of apparently active and adequate precautions in a San Francisco hospital,4 has served to focus attention on some heretofore mistaken considerations. The usual precautions as to prophylaxis and cleanliness had been taken without averting the continuance of infections. Numerous common opportunities of infection were ruled out; namely,