The infrequency of the occurrence of typhoid fever in persons of advanced years has long been a matter of note and makes it seem important to place on record the following case which came under my observation:
—Mrs. E. P., aged 70, had never had a serious illness. Family history was negative.
—Patient passed most of the winter of 1905-06 in Florida, and noticed no departure from her usual health until late in March, when she found herself very easily fatigued. She left Florida, March 29, for Savannah, Ga., and remained in the latter place until April 12. While in Savannah she had more or less diarrhea and marked lassitude. She arrived in Washington, D. C., April 13. The lassitude persisted and her strength was notably below par. On April 19 she fell on a marble staircase in her hotel and sustained a sealp wound, which