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CASE OF SUSPECTED RABIES WITH ISOLATION OF BACILLUS DIPHTHERIA FROM THE CENTRAL NERVOUS SYSTEM.

JAMA. 1899;XXXIII(16):989. doi:10.1001/jama.1899.02450680057015.
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The importance of careful bacteriologic study of cases more or less closely simulating rabies is well demonstrated by Head and Wilson1, of the The University of Minnesota, in their thorough study of a case of the nature expressed in the title. This case is therefore worthy of more than passing notice. The history and the clinical symptoms pointed toward the diagnosis of rabies: There was a definite history of a bite on the cheek by an unknown animal; after an incubation of two months, extreme pain and numbness in the region of the scar developed, followed by characteristic laryngeal and respiratory spasms on attempting to take liquids, the spasms being at first slight, later most pronounced, but toward the end feeble or absent; at first there was no fever, but later this became marked; the pulse was always rapid; insomnia, attacks of violent delirium with intervening periods of rationality,

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