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To the Editor:—
Cinchonism is relatively rare in the United States both because of the low incidence of malaria and because of the use of the newer antimalarial drugs when indicated. I think it worth while to present to your readers the following unusual reaction because of the increase in popularity, at least in the east, of the drink "gin and tonic."I saw a 43-year-old man in consultation who had a seven week history of tinnitus and hearing loss. He had consulted an otologist, who found bilateral diminution in hearing, and a neurologist, who suggested the diagnosis of bilateral angle meningioma. Because of the history of daily ingestion of seven to eight drinks per day he was sent for a medical evaluation prior to further workup for neurosurgery. The history of alcohol ingestion was correct, but his diet was in general adequate. After a physical examination, which was not
Yohalem SB. QUININE IN TONIC WATER. JAMA. 1953;153(14):1304. doi:10.1001/jama.1953.02940310072022
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