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JAMA. 1911;LVII(26):2081-2082. doi:10.1001/jama.1911.04260120271019.
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Patient.  —The subject is a soldier in the infantry service U. S. A., aged 24, with negative family and personal history, who had had an army service of four years ten months and had served in the Philippines two years three months. There is no history of venereal disease or of venereal or alcoholic excesses.

Examination.  —He was first seen by me in consultation with Major F. M. Hartsock, U. S. A., July 30, 1910, and had first reported at sick-call July 27, when he appeared rather dull, sallow in color and with a temperature of 100 F. and pulse 76. He was constipated, his tongue heavily coated, marked anorexia, and he presented the appearance of the onset of an acute infection. The spleen and liver were not enlarged. July 28, the Widal test was negative as also the urinalysis; on July 29 the patient had to be catheterized.



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