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November 23, 1895

A Case of Malignant Hemorrhagic Malaria with very Large Spleen.

JAMA. 1895;XXV(21):917. doi:10.1001/jama.1895.02430470037012

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Elgin, Ill., Nov. 15, 1895.

To the Editor:  —With the permission of Dr. J. F. Bell, I wish to report an interesting case of hemorrhagic malaria in which I was called in consultation:W. M., male, age 25, recently from a malarial region of Kentucky and for years a victim of that disease. He has had several chills during his three weeks' residence here, of the remittent form. October 27, last, the patient left the house feeling very well, not having had a rigor during the last week. While waiting in the depot for a train to Chicago, he suddenly became quite sick. He struggled back to the house and on reaching it he fell to the floor, complaining of pain, and also had a chill. Dr. Bell was called, and found the patient in a delirious state, temperature 104, pulse 130, strong and full; palpation and pressure over the

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