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August 1, 1908


JAMA. 1908;LI(5):406. doi:10.1001/jama.1908.25410050046003a

History.  —G. L., aged 56, had on July 14, 1907, what he terms a chill. The following week he did not feel very well, but continued his work, that of a bank teller. On July 24 he was taken to the nearest hospital suffering from a well-defined attack of typhoid fever. Cold sponge baths were given whenever the temperature rose above 102. These were continued for three weeks; then pneumonia developed. The lower lobes of both lungs were involved. Resolution followed in due course and the patient returned to his home three weeks later, having remained in the hospital for six weeks. His general weakness and disability were not more marked at this time than would have been expected. Three weeks after returning home he was able to get about fairly well, butalways complained of stiffness in his back. Walking up or down stairs caused pain in the back, which

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