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In typhus fever the nervous system is affected with remarkable regularity. Though it causes also a number of somatic disturbances, these are neither clinically nor pathologically so prominent and important as the nervous complications. It also gives rise to a number of curable, transient psychoses and therefore is remarkable also for the absence of sequelae which are so common after another infection of the central nervous system known as epidemic (lethargic) encephalitis. Rare and practically unknown in this country, typhus fever is prevalent in Europe. During the Great War it swept over Russia, Poland (epidemic of 1918-1919), some provinces of the former, Austria and the Balkan countries and the military camps of the warring nations. An enormous opportunity presented itself to clinicians and research workers to study the disease from various angles. Their vast experience has been faithfully recorded by Hirschberg, who devotes 13 pages to pathology and the rest
Fleckfieber und Nervensystem. JAMA. 1932;99(9):781–782. doi:10.1001/jama.1932.02740610079035
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