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February 12, 1887


JAMA. 1887;VIII(7):195. doi:10.1001/jama.1887.02391320027008

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Dear Sir:  — I desire to report the following case: Stella S., æt. 4 years, was attacked with gangrena orum on December 22, 1886. A gangrenous condition presented itself over all the visible part of the mouth, including the lips. There was fever, restlessness, loss of appetite. The face had a livid, sunken appearance. The discharge from the mouth was fetid and had the ante-mortem odor. The mouth finally presented a brownish-black and dry appearance, with black ulcers on the lips. The mouth and lips often bled. I put the child first on tinc. of chloride of iron and chlorate of potassium, and washed the mouth with a saturated solution of chlorate of potassium. No improvement took place until Christmas day, after I had changed the chlorate of potassium wash for a wash of bromo-chloralum, [unk]ij to the pint of water, and to-day, December 31, the mouth is moist and

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