Spirochetal jaundice has been reported from practically every country in the world.1 Despite its universality, the number of cases reported in North America appears to be disproportionately less than that reported from continental Europe. In the interval 1924-1937 808 cases were diagnosed in the Netherlands.1 Between 1924 and 1932 263 proved cases were found in France.2 In the Netherlands the diagnosis was established in 374 cases between 1924 and 1938, and there were at least 248 cases in Great Britain between 1922 and 1939.3 In contrast, up to 1940 Stiles and Sawyer4 state that they were able to collect only 73 authentic cases from North America, with half as many additional cases on which laboratory data were regarded as inadequate. Larsen5 states that up to August 1941 98 cases of spirochetal jaundice had been observed in Puerto Rico and in fourteen states and the District
BRUNO FE, WILEN CJW, SNAVELY JR. SPIROCHETAL JAUNDICE: A REPORT ON FIFTEEN CASES, INCLUDING TWO CASES OF LEPTOSPIRA CANICOLA INFECTION. JAMA. 1943;123(9):519–524. doi:10.1001/jama.1943.02840440001001
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