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Freda H., a robust girl, aged 7 years, complainpd of hoarseness on November 6, and remained indoors without symptoms of fever until November 11. On that day she took to her bed, and Dr. F. W. Mercer saw her for the first time. On the same afternoon I saw her in consultation with Dr. Mercer. During the day the temperature had ranged at slightly over 102 degrees. The fauces were entirely free, with the exception of a small, white, loose deposit on both tonsils, which was easily brushed away with cotton mounted on a probe. The child was hoarse and the larynx somewhat stenotic. No retraction of chest upon inspiration. Bronchitis in larger tubes. Examination of the larynx was very unsatisfactory, because of an unusually depressed epiglottis, and the child's intolerance of laryngoscopic examination.
The next morning, November 12, she coughed up a piece of membrane two inches in length,one-half
KUH EJ. A CASE OF PRIMARY (?) LARYNGEAL DIPHTHERIA, TREATED WITH BEHRING'S ANTITOXIN. JAMA. 1894;XXIII(22):828–829. doi:10.1001/jama.1894.02421270018001d
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