During the period Jan. 1 to April 15, 1943, 68 patients with meningococcic infection were admitted to the Station Hospital at Camp Edwards, Massachusetts. Note that we do not say "meningitis," for many of these patients were admitted before the stage of meningitis had been reached. It is essential to bear in mind that infection with the meningococcus is divided into three stages:
Nasopharyngeal infection, or sometimes even tonsillitis, clinically differing in no way from such conditions produced by other organisms.
The stage of septicemia. The patient may die in this stage after a few hours, the infection may be overcome by proper treatment before meningitis has developed or in mild infections may be overcome by the patient himself without treatment, or the septicemia may progress in a few hours or in a day or two to meningitis. The last mentioned is the most common sequence of events.
HILL LW, LEVER HS. MENINGOCOCCIC INFECTION IN AN ARMY CAMP. JAMA. 1943;123(1):9–13. doi:10.1001/jama.1943.02840360011002
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