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March 26, 1892


JAMA. 1892;XVIII(13):397-398. doi:10.1001/jama.1892.02411170023005

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Notwithstanding the importance of this subject, and the frequency of the disease during the past winter, we have refrained from touching upon it at length in these columns, because of the uncertainty in which many careful practitioners seemed to be regarding its nature and treatment, and because of the wide divergence of the opinions recorded in current medical literature.

The disease as it appeared at first, during the winter of 1889 and 1890, was quite different from that of the following winter, and that now prevailing. Upon the whole the attacks were of shorter duration, yielded more quickly to the modern antipyretics, presented fewer complications, were followed by less depression, and by fewer severe sequelæ.

During the past two winters the milder forms of the disease have been less distinctive than before; the diagnosis has not been made with as much certainty as during the first year. The severer forms

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