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April 11, 1891

That "Remarkable Case."

JAMA. 1891;XVI(15):533-534. doi:10.1001/jama.1891.02410670029014

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To the Editor:  —I cannot help thinking that there must be an element of deception in the very remarkable case reported by Dr. Galbraith in your last issue. Apart from the inherent improbability of the extremely high temperatures noted, it seems to me a physical impossibility, so long as the circulation of the blood is maintained, that the temperature in the axilla should be 20 degrees higher than in the mouth. A temperature of 171°, or even 151° F., can only be borne by the finger for a very brief time without severe pain, and I think it may be set down as certain, that with a temperature approaching even the lower of these points, the vapor of the breath would form a cloud, in a room at the ordinary temperature, as that of a healthy person does on a cold day. I would suggest, in case of opportunity for

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