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November 5, 1898


JAMA. 1898;XXXI(19):1118. doi:10.1001/jama.1898.02450190044006

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While typhoid fever presents many distinct types, as afebrile, ambulatory, abortive, hemorrhagic, and qualifying adjectives of this kind are a positive aid to the student, attempts at such classification as pneumotyphoid, nephrotyphoid, and names of like character, can not but make the subject extremely intricate, even when they are manifestly designed to indicate the organ or system upon which the brunt of the attack is falling. It were better then to speak, not of nephrotyphoid, but of typhoid with prominent renal symptoms. This variety is not uncommon, as a review of many recent reports of typhoid will show. The renal complications may occur at the height of the disease, when no particular trouble in diagnosis occurs, or nephritis may occur as a sequela. Occasionally, as in a case reported by Wilson, a primary attack apparently involves the kidneys only, an acute nephritis of typhoid origin, if we may so use

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