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October 29, 1898


JAMA. 1898;XXXI(18):1032-1035. doi:10.1001/jama.1898.92450180026001j

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An irregular type of fever incident to auto-infection is frequently found in artificially reared children. It is also encountered in young adolescence, and may be found in breast-fed children of irregular habits. When associated with a depressed system or unhygienic surroundings the fever is most likely to assume a more protracted and intermittent type. When found in breast-fed children, the fever is suddenly ushered in at a high grade (103 to 104 degrees), very frequently sustaining this elevation of temperature for several days, when it may break into an intermittent form. The fever associated with intestinal toxemia has many times led to the diagnosis of typhoid fever, from which it can only be discriminated in young children by a careful analysis of the various symptoms, conditions and surroundings, diet and exposure, and all the many complications incident to artificial management.

The clinical picture of a child suffering from auto-infection so

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