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The case reported below is of interest chiefly because of puerperal thrombophlebitis as an etiologic factor.
—Mrs. N., white, aged 48, widow, native and resident of Alabama. No family history of tuberculosis, neoplasm or elephantiasis. Patient had measles, pertussis and varicella as a child. At age of 15, she had a mild attack of erysipelas of the left leg, which lasted a week or ten days and gave no further trouble. Menstruation began at age of 15 and has always been normal. She is the mother of five children, the oldest now 25 and youngest 15 years of age. A healthy, active woman until onset of present condition. Following the birth of her second child, twenty years ago, she developed "child-bed" fever and a few days later a "milk leg" of the right limb. A painful, red swelling appeared in the right groin and the right ankle became somewhat
WINTHROP GJ. A CASE OF SPORADIC ELEPHANTIASIS. JAMA. 1911;LVII(20):1592–1593. doi:10.1001/jama.1911.04260110092005
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