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The remarkable epidemic of influenza which appeared on the confines of Russia in the autumn of 1889, and which during the following winter spread over nearly the entire area of the two Continents and which, in like manner and with even more fatal results re-appeared in the wrinter and spring months of 1890 and 1891, was conspicuous for the rapidity with which it traversed the two hemispheres, for the added intensity which it gave to our ordinary diseases and for the profound and prolonged prostration of those of its subjects who survived its fatal effects. Its differential diagnosis was the more difficult, by reason of its simulation of the ordinary symptoms of our endemic diseases. The numbers of our people that were affected, the unusal severity of their sicknesses and the alarming fatality which resulted therefrom, was proof beyond question that this epidemic was exerting a most profound influence upon
HOLLISTER JH. A MODIFIED FORM OF CONTINUED FEVER FOLLOWING THE EPIDEMIC LA GRIPPE. JAMA. 1892;XIX(4):95–98. doi:10.1001/jama.1892.02420040007001b
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