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June 8, 1901


JAMA. 1901;XXXVI(23):1628. doi:10.1001/jama.1901.02470230030005

Since the pandemic of influenza ten years ago there have been annual recrudescences of the disease, and on such intimate terms with it has the laity gotten that it feels competent to make the diagnosis; so that any obscure illness during the winter is likely to be looked upon as influenza. The symptomatology of this disorder, furthermore, is not so sharply defined as always to permit of ready diagnosis, even by the physician, and we fear that the bacteriologic evidence is not often invoked. It would, therefore, not be surprising if much of that which is designated influenza were found actually to be something else.

Dr. R. J. M. Buchanan1 makes the not improbable suggestion that many of the so-called sporadic cases of influenza are really symptomatic of the initial infection of tuberculosis, or possibly an exacerbation of a latent tuberculosis previously unsuspected or undetected. Some support is