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E. R. Blaisdell, M.D.
JAMA. 1932;98(18):1549. doi:10.1001/jama.1932.27320440005007c.
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M. R., a girl, aged 9 years, was admitted to the Maine General Hospital, Oct. 4, 1931, in the pediatric service of Dr. Thomas Foster. The family and the past history were unimportant. The present illness began thirty-six hours before, when she awoke in the morning with frontal headache. Late that afternoon she vomited. At this time she was seen by the family physician, who found a temperature of 102 F. On the following morning the temperature was 100 F., and there was slight stiffness of the muscles of the neck and back. At the time of entrance to the hospital, the rigidity of the muscles of the neck had increased and she was unable to flex the chin on the chest. The knee jerks were hyperactive and Babinski's sign was present on both sides. The spinal fluid gave a cell count of 60 per cubic millimeter and reduced Benedict's


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