Abstract

During the last few years I have seen a number of cases of continued fever that resembled typhoid fever but did not give the usual laboratory tests nor did they present all of the characteristic clinical features of that disease. In their symptomatology they did not, however, depart from the text-book description more than many well authenticated cases of typhoid fever. I am sure that every physician in active practice sees cases of fever that impress him in the beginning as typhoid, and if he commits himself to this diagnosis he is often much embarrassed to find that the duration is too short for it to be typhoid fever or that the case does not give the laboratory reactions of that disease. I am, of course, not referring to certain widely different infections that may assume a typhoid type, such as ulcerative endocarditis, miliary and cascous tuberculosis, meningitis, etc. One of these typhoid-like infections has already been established as a clinical entity, namely

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