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June 13, 1908

AN EPIDEMIC OF CEREBROSPINAL MENINGITIS: AND THE SUCCESSFUL USE OF FLEXNER'S ANTISERUM.

JAMA. 1908;L(24):1975-1977. doi:10.1001/jama.1908.25310500023002c

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Abstract

Porterville is a town of about 2.000 inhabitants, in the San Joaquin Valley, at the foot of the Sierras. Here in 1896 occurred five cases of cerebrospinal meningitis, of which two recovered. One, now a boy of 16 years old, is a hopeless cripple; he has no use of arms or legs.

The following cases have occurred in the present outbreak, which began early in December, 1907. The first twelve cases are given briefly; antiserum was not used; only one recovered; thus the mortality in these twelve cases was 91.6 per cent.

Case 1.  —(Dr. O. C. Higgins, December, 1907.) Miss T., aged 21, was examined at 11 a. m. by the doctor in a tent-wagon. Had had a chill and convulsions a few hours before. When seen by the doctor there was external strabismus and the patient was unconscious. Died about 9 a. m. the next day, within twenty-four

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