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January 28, 1893


JAMA. 1893;XX(4):89-90. doi:10.1001/jama.1893.02420310007001d

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The patient, aged 65, an employee of the City Gas Department had for many years, when exposed to breathing illuminating gas, in the pursuit of his occupation been subject to attacks during which he lost consciousness, but after a short period of half an hour or an hour recovered and was able to resume his work. About three weeks prior to the time when the present observation was made he had suffered from one of these attacks, of more than usual severity and duration, and immediately thereafter was confined to his room for four or five days, with urgent dyspnœa and severe bronchial symptoms. Later on there was continued cough, and great restlessness, and threatened cardiac failure. After partial recovery he again relapsed with great dyspnœa, and gradually became delirious, and during a portion of the time apathetic and lethargic. The CheyneStokes respiration then appeared accompanied by a pulse of

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