Abstract

March 25, 1921, investigation of the outbreak here reported was requested by the chief of the department of medicine and by the director of the students' health service of the University of Minnesota. Our attention was called to the facts that all known cases were in men, and all had eaten at the men's union cafeteria on the university campus. At that time there were twenty-five or thirty known cases in students suffering from an acute febrile condition associated with prostration and various symptoms of gastro-intestinal and respiratory disturbances. Owing to the rapid onset, the character and mildness of the symptoms, accompanied by fever, with disproportionate prostration, and followed by rapid subsidence of acute symptoms, the disease had been considered to be influenza of an intestinal type. On the date mentioned, with the appearance of rose spots in a few cases, and the finding of the Widal reaction to be

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