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August 20, 1887

THE RELATION BETWEEN ERYSIPELAS AND PUERPERAL FEVER, CONSIDERING ERYSIPELAS BOTH AS AN ACUTE AND A LATENT DISEASE.Read before the Section on Obstetrics and Gynecology, at the Thirty-eighth Annual Meeting of the American Medical Association held at Chicago, June, 1887.

JAMA. 1887;IX(8):231-235. doi:10.1001/jama.1887.02400070007001a

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Before proceeding to the discussion of this subject let me present to you, in as concise a form as possible, my definition for the term puerperal fever. It is not a specific fever, as Dr. F. Barker would have us believe, but a disease due to the absorption, by a puerperal patient of some septic poison; this poison being absorbed either by the lymphatics or the veins at the site of some breach of continuity in the parturient canal. It is then, in short, nothing more or less than septic fever, showing the same pathological changes and giving the same clinical symptoms as are seen in different surgical patients who have suffered from septic infection.

In the year 1886 there were published two particularly valuable works on the subject of Obstetrics. The first of these, Cazeau and Tarnier's "Theory and Practice of Obstetrics," with its 1,200 pages, does not make

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