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July 1970


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Am J Dis Child. 1970;120(1):89. doi:10.1001/archpedi.1970.02100060123027

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To the Editor.—May I express my delight with the little special article (Amer J Dis Child 119:200-203, 1970) by Dr. H. A. Carithers on the history of cat scratch fever. May I add a bit of amplification upon Dr. Foshay's role. Because of his enormous experience with tularemia, he was frequently asked to see patients with unexplained lymphadenopathy. Several Cincinnati physicians had sought his help in the management of children whose illnesses resembled tularemia, but whose serum contained no agglutinins for the bacillus tularense. Lee Foshay had taught us that nearly all patients with tularemia develop very high titers of such antibodies. Furthermore, he was very firm in his teaching that the usual incubation period was two to five days and that he had never seen tularemia with an incubation period of longer

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