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R. J. Reitzel, M.D.
JAMA. 1931;96(15):1227. doi:10.1001/jama.1931.27220410003013b.
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A Negro girl baby, aged 19 months, was admitted to the pediatric service of the John Sealy Hospital, May 15, 1929, because of vomiting, muscular weakness and irritability.

The baby had been delivered at full term by cesarean section. Her weight was 5½ pounds (2.5 Kg.), and her condition was good. She sat alone and began teething at 7 months, talked at 1 year of age and walked at 13 months. Feeding was artificial on a cow's milk formula. Later on she took cereals and cod liver oil. Prior to the present illness, she had always been well. The family history was negative.

Three months before entering the hospital the baby began rubbing her nose with her hands, and began vomiting. The vomiting had no especial relation to meals. Later on there was excessive crying. One month later the eyes "became crossed," she stopped talking, and she was unable to


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