The subject of perforation in typhoid fever is one of perennial interest, and of late years has been much to the fore on account of the renewed interest in its surgical aspects. From time to time analyses of the factors bearing on the subject have been made, and the published results usually show variations, at least in detail. In a disease like typhoid, which varies so much from year to year, it is necessary to analyze large numbers of cases, collated from various sources, in order to obtain an idea of the mean natural history of the disease. It is always of interest, therefore, to study new reports and to compare them with previous ones.
Recently Scott1 has published some interesting facts bearing on perforation, collected from the records of the Pennsylvania Hospital. A study of his figures shows that this complication is more common than is generally stated
PERFORATION IN TYPHOID FEVER. JAMA. 1905;XLV(1):45. doi:10.1001/jama.1905.02510010051005
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