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—Mrs. P., aged 26. Family history negative. The patient had lived a questionable life, and about three years ago, after failing in general health, she was thought to be dying. No specitic history could be obtained.
—The physician called found the patient with a high fever, coughing and expectorating. Right lung was tympanitic in areas and dull in other areas. The sputum was examined several times for the tubercle bacillus, but none was found. There were macular-like blotches on hands and face, especially on the forehead; there were lesions of herpes on the lips, which were swollen; there was no itching, no pain.
—No diagnosis was made, though the patient was put on tuberculosis treatment. She seemingly recovered and the macular eruptions scaled off.
—On June 22, 1905, my attention was called to the patient, who had been treated by the city physician, Dr. John
EPLER BN. A CASE OF GENERAL INFECTION BY THE DIPLOCOCCUS PNEUMONIÆ.. JAMA. 1905;XLV(11):789. doi:10.1001/jama.1905.52510110045003
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