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July 19, 1902


JAMA. 1902;XXXIX(3):140. doi:10.1001/jama.1902.02480290024003

The publication of not less than six papers on arthritis due to the pneumococcus during the past eighteen months has brought into prominence one of the effects produced by this organism which has not previously received as much notice as it probably deserves. These recent publications have been written by men in various parts of the world; two in England, three in America, one in Germany; and with previous French articles they indicate that these joint complications are confined to no locality. In one of the latest and most exhaustive publications on this subject, Herrick1 has collected 52 cases from the literature and his personal experience. The comparative infrequency of the condition is shown by the absence of a single case among large numbers of cases of pneumonia in many hospitals. Two factors appear to be particularly important in determining the localization of the pneumococci in joints. One is