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April 4, 1885


JAMA. 1885;IV(14):389-390. doi:10.1001/jama.1885.02390890025012

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[In our issue of March 14, we stated, in the miscellaneous columns, that what was believed to be a disease similar to that which carried off quite a number of people in Kentucky and West Virginia last fall, had appeared in Lancaster county, South Carolina. We have just received the following note concerning it:]

Dear Sir—Pursaunt to your request, I will briefly describe an endemic dysentery, adynamic in type, and not readily yielding to treatment, which has appeared in this county. As will be seen, it has caused quite a large percentage of mortality. In the majority of the cases the affection has been ushered in by nausea and vomiting, soon followed by bloody and mucous discharges from the bowels. In its early stages the temperature ranges from 99° to 101.5° Fah., but falling as low as 95° in some of the cases after eight or ten days. The pulse

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