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May 7, 1892

SYMPTOMATOLOGY AND TREATMENT OF SUMMER COMPLAINT.Lecture delivered at the Fourth Special Course of the Chicago Policlinic.

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JAMA. 1892;XVIII(19):578-583. doi:10.1001/jama.1892.02411230008001e

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The most prominent symptoms in summer complaint are those connected with the bowels. The diarrhoea is characterized by stools which differ from each other greatly, as to number, consistency, color, and odor. Of the several phases of the stools, the odor is the one to which I wish to call particular attention. It is indeed remarkable with what certainty the stools may be divided by their odor into putrid stools and acid stools. Occasionally the stool will be described as having an intensified fecal odor, or smelling like old wood, but it is evident that such odors are but variations of putridity. The acid stools derive their odor from the presence in them of various members of the fatty acid group, all of which have arisen from fermentation of carbo-hydrates. The putrid stools, on the other hand, can only arise from fermentations of albuminous materials. I told you in my

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