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Epidemic meningitis is ushered in with a chill, pain in the back, vomiting, possible convulsions, rigidity of the neck muscles, explosive vomiting, headache, and photophobia. These symptoms furnish a comparatively significant picture and one which usually leads to a diagnosis of meningitis. The gravity of the situation is felt by the physician, and the friends of the patient are informed that the case is one of "brain fever." It is not an infrequent experience to have such a one change for the better very rapidly, just as in some other cases all of the symptoms may increase, the convulsive phenomena become more marked, the fever higher and the patient rapidly pass into a state of coma, and die with the general symptoms of cerebral compression. A remarkable variation of the severity of the symptoms in these different cases is furnished by an occasional one which comes to post-mortem examination. Here
MENINGITIS AND MENINGEAL SYMPTOMS. JAMA. 1900;XXXIV(10):628. doi:10.1001/jama.1900.02460100050016
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