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It is gratifying to American investigators of human brucellosis in its varied forms to find in so valuable a book as that of Michel-Béchet and his collaborators that these French authors have discarded the former designations of the disease—Malta, or undulant, fever—names which were probably to some extent responsible for the failure to recognize phases of the disease which occur without significant rises in temperature. The authors emphasize that there is no definite pattern of brucellosis. Nothing is more fantastic, they say, than the evolution of this disease. The onset may be insidious, or an attack of indigestion suggests intestinal grip; or pain in the joints suggests rheumatism, and it is only after the attacks have been repeated a few times that one thinks of brucellosis.
Four cardinal signs are mentioned as characteristic of the septicemic phase of brucellosis: temperature, pain, perspiration and weakness. The rises in temperature may occur
Localisations viscérales et aspects chirurgicaux des brucelloses. JAMA. 1940;115(14):1220–1221. doi:10.1001/jama.1940.02810400072028
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