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July 29, 1893


JAMA. 1893;XXI(5):162-169. doi:10.1001/jama.1893.02420570022001g

Cough is present in almost every case of pneumonic fever, usually beginning with the very inception of the disease and continuing, with more or less frequency and severity, until the inflammatory exudate has been completely removed from the lungs.

This symptom was present in all of seventy cases analyzed by Chomel; in all of Dietl's a 750 cases; in 90 per cent. of Grisolle's cases and in 95.8 per cent. of my series of cases.

It occasionally precedes other symptoms by a few hours, or even several days. In such instances there is usually a premonitory bronchial catarrh. In a few cases the cough may be so slight and insignificant as to escape the notice of the patient and his attendants unless their attention has been particularly directed to it. In rare instances it may be quite absent throughout the attack.

A Swede, aged 49, had a chill, followed by