JAMA. 1899;XXXIII(4):187-188. doi:10.1001/jama.1899.92450560007001b.
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The writer makes report of the following two cases of edidemic cerebrospinal meningitis with regret that they do not carry with them any original research or new matter in the etiology or pathology of this disease, but with the idea that they emphasize one of the theories as to the access to the meninges of the pathogenic microorganism now generally recognized as its exciting cause, viz., through the nasal chambers, and secondly, that they rather uniquely illustrate the markedly intermittent type of the disease, with the accompanying lesson that unless great caution is used by the observer, he may readily confound apparent therapeutic results with coincidents in the course of the disease.

It is thought by a large number of authorities that the infection atrium of this disease is the nasal chambers. Indeed Strumpell early pointed out that the disease is frequently preceded by an intense coryza, and Weichselbaum and


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