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Article
October 29, 1898

DIPHTHERIA AS VIEWED BY THE GENERAL PRACTITIONER DURING THE LAST YEAR.

JAMA. 1898;XXXI(18):1040-1046. doi:10.1001/jama.1898.92450180034001o

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Abstract

It is not my aim to present a learned dissertation either on the pathology or scientific treatment of diphtheria. These subjects have been before the profession so constantly during the last three years that such a paper would prove only an intrusion upon your valuable time. What I wish to do is simply to make a few practical observations that must be patent to every general practitioner. Until recently diphtheria ranked as the gravest of the anginas, and the most dreaded of the acute febrile affections. This applies with especial emphasis to the laryngeal types, formerly largely regarded as a distinct disease, but now generally recognized as identical with diphtheria of the larynx and properly treated with heroic doses of antitoxin. Yet the nasal and naso-pharyngeal types with their preponderance of constitutional manifestations and former frightful mortality were scarcely less dreaded both by the physician and parent.

Recent advances in

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