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Article
January 16, 1897

A RATIONAL TREATMENT OF DIPHTHERIA WITH OR WITHOUT ANTITOXIN.

Author Affiliations

PEORIA, ILL.

JAMA. 1897;XXVIII(3):109. doi:10.1001/jama.1897.02440030013001h

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Abstract

Recognizing the doubts of all treatments, I submit four cases taken from my case book which were true diphtheria occurring in an epidemic, and which show a positive result:

Case 1.  —July 18, 1891. Patient, a female, aged 15. Two brothers had just died of diphtheria when she contracted sore throat and fever with constitutional symptoms. The membrane formed over the posterior fauces, extended anteriorly and to the sides of the throat. Treatment, spray 2 per cent. cocain sol. very carefully and small amount, followed by second spray of Condy's fluid. Ordered to be repeated each hour till all soreness was relieved. Internal treatment, zinc sulpho carb. 1 gr. each hour. Quinia and iron tonic every three hours. Food every fourth hour, taken after spraying. Result, second day membrane disappearing from anterior pillars and only patches left on sides. No fever. Good appetite. Third day, no patches remaining, inflammation subsiding.

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