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October 22, 1892


JAMA. 1892;XIX(17):503. doi:10.1001/jama.1892.02420170027002

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The clinical term dysentery includes various forms of intestinal flux due to inflammation and usually ulceration of the large intestine. While the primary etiological agents in the acute catarrhal and the diphtheritic forms of dysentery are as yet but imperfectly understood. The so-called tropical variety of dysentery has been made the subject of investigations that show it to be a distinct disease from an etiological, a clinical, as well as an anatomical standpoint. The investigations of Losch in Russia, of Kartulis in Egypt, of Councilman and Lafleur as well as others in this country and elsewhere, show the amœba coli (Losch) of dysenteræ (Councilman and Lafleur) to be constantly present in the evacuations and in the intestinal lesions of tropical dysentery as well as in the quite frequent secondary liver abscesses and in the sputum after the rupture of such purulent collections into the lung. Kartulis and Hlava have made

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