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June 17, 1950

Die Bazillenruhr

JAMA. 1950;143(7):689. doi:10.1001/jama.1950.02910420077031

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This monograph on bacillary dysentery is based on the author's personal experience in World War II and is supplemented by several hundred references almost exclusively from the German literature. The paper was concluded in 1944 (only a few more recent references have been added) and deals with pathogenesis, clinical manifestations, bacteriology, epidemiology, immunization, pathology, differential diagnosis, treatment and prognosis, with emphasis on clinical aspects and treatment.

In the chapter on general pathogenesis, the author briefly discusses the pertinent geographic and climatic factors, individual constitutional and psychosomatic problems, hygienic conditions, water and food, sewage disposal and problems of mass infection as well as the theory of the action of dysentery toxins. The largest part of the book is occupied with the protean clinical signs of dysentery, illustrated by cases the validity of which is somewhat dubious because of the absence of etiologic diagnosis. The main enteric and parenteral signs are presented.

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