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MEDICAL MONTHLY.

(RICHMOND.)

VOLUME XIII,

(From April, 1886, to March, 1887, inclusive.)

EDICAL

BOSTON

JUN 10 1887
LIBRARY ASS'N

LANDON B. EDWARDS, M. D.

EDITOR AND PROPRIETOR.

RICHMOND:
J. W. FERGUSSON & SON, PRINTERS.

1887.

CATALOGUED,

LIB.

6/10/17

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ART. I.-A Practical Paper on Diphtheria. By JOHN HER

BERT CLAIBORNE, M. D., M. A., Ex-President and Honorary Fellow of Medical Society of Virginia, Author of “Clinical Reports from Private Practice,” etc., etc., Petersburg, Va.

PERSONAL RECOLLECTIONS AND OPINIONS.-I only propose to write that which I know, or think that I know, of my own knowledge.

My first acquaintance with diphtheria commenced in the person of a little German girl, about twelve years of age, during the summer, June perhaps, of 1857. At my first visit I found her complaining of sore throat, pains in the neck and limbs, and of general weakness and discomfort. She had had a chill the day before, followed by fever which had not then abated. There was considerable swelling about the front and both sides of the neck-not glandularbut apparently from inflammatory effusion in the subintegumentary and areolar tissues. On looking into her throat, the whole fauces seemed lined with some material more nearly resembling a dirty blanket than anything else. I was quite a young practitioner at the time, and, recog

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