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September 30, 1939

BACILLARY DYSENTERY: A PRELIMINARY REPORT STRESSING THE BLOOD PICTURE

JAMA. 1939;113(14):1321-1322. doi:10.1001/jama.1939.72800390003012a

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Abstract

Dysentery, an acute intestinal infection, was known and described during the time of Hippocrates. From 1898 until 1916 various workers isolated organisms which bear their names and are said to be causative agents of bacillary dysentery. The etiology, pathology, symptomatology and treatment of bacillary dysentery have been adequately described and all writers apparently agree on the details.

In Fresno County an outbreak of dysentery is not uncommon each summer. The community is devoted primarily to farming and the migrant farmhands are numerous. They live in any type of shelter and the food that the family secures is not adequate or balanced. The unripe fruit is partaken of freely. The incidence of dysentery is more prevalent in children.

During the summer of 1937 we had occasion to admit to the General Hospital of Fresno County thirty-nine patients suffering from bacillary dysentery. Our attention was particularly attracted to these cases because of

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