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JAMA. 1906;XLVI(5):360-361. doi:10.1001/jama.1906.62510320046003.
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Case 1.  —F. D., boy, aged 16.

History.  —Both of his parents are alive and well. The boy had always been well up to a month before entering St. Thomas Hospital. At that time he contracted an attack of gonorrhea and about a week later suffered from what was considered la grippe, with throat symptoms predominating. The illness which brought him to the hospital was diagnosed typhoid fever and was of about a week's duration. He had pains in his back and head, fever and delirium.

Examination.  —Physical examination showed a well-developed and well-nourished boy. He was partly delirious and very apathetic. Pulse was 110, temperature 103.6. The eyes reacted to light and to accommodation. The tongue was flabby and coated. The lungs were negative.Examination of the heart showed diffuse, forcible pulsation visible over the whole heart area, and more pronounced at the apex. This pulsation was also readily


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