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JAMA. 1886;VII(23):619-622. doi:10.1001/jama.1886.04250120003002.
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J. M. T.; male; colored; aged 40; married; one healthy child; always well until two years ago, when he had a severe attack of dysentery, followed by a hepatic abscess that pointed in the epigastrium, where it was opened by a physician; a drainage-tubewas inserted and antiseptic injections employed; no antiseptic dressings; discharge ceased in four months, after which he regained his usual health.

He had no other illness until April of this year, when he began to have malaise. In June he began to have pain in right shoulder and arm; no pain, however, referable to hepatic region; later pain changed to right side of chest; then he lost flesh and strength; had hectic, night sweats, anorexia, slight dry cough, gradually increasing dyspnœa. Until he came under my care, August 8, he had worked as usual but, although his duties were very light, he was scarcely able to perform


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