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AN EPIDEMIC PNEUMOCOCCIC CATARRHAL DISEASE.CLINICAL STUDY.

HARVEY G. BECK, M.D.; WILLIAM ROYAL STOKES, M. D.
JAMA. 1907;XLIX(11):889-895. doi:10.1001/jama.1907.25320110001001.
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CLINICAL STUDY. 

INTRODUCTORY.  It may appear presumptuous to insert the word "pneumococcic" in the title of a paper which has to deal largely with a disease or condition with local manifestations involving the mucous membrane of the upper air passages and conjunctivæ, because recent investigations tend to show that these anatomic situations are a normal habitat of the pneumococcus. It is, therefore, with a considerable degree of reserve that this title has been adopted, even after coupling a definite clinical picture with the persistent presence of an overwhelming number of pneumococci characterizing this series of cases. It is, of course, impossible to make a numerical division as to what constitutes a normal or an abnormal invasion of pneumococci in the mucous membrane of the eye, nose and throat. Therefore, we do not regard the increase in the number of these organisms, even though it be enormous, of sufficient importance to

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