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November 24, 1945


JAMA. 1945;129(13):905. doi:10.1001/jama.1945.02860470065027

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To the Editor:—  In The Journal, September 1, an outbreak of food poisoning due to Salmonella montevideo in an army general hospital is reported. That outbreak possibly was not as local as the authors believe. During the night of April 16-17, 1944 there was a similar outbreak in another hospital in southern England. As the outbreak took place a few days before that hospital started to admit patients, all cases were personnel from that hospital, approximately 250 out of 400. The cases came from both hospital messes (officers' and enlisted men's). The symptoms (abdominal cramps, watery diarrhea, nausea, high fever) were the same as described in the April 11-12 outbreak. Several patients had cough and expectoration, one with definite pneumonic signs on physical examination. The hospital's x-ray equipment had not been set up yet.Our experience with sulfaguanidine (3 Gm. every four hours) was apparently satisfactory. The 30 patients (two

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