The following case, while lacking autopsy confirmation, is of considerable interest when considered in conjunction with the case reported in this issue by Drs. Lamb and Paton. Like this, it suggests a form of infection probably overlooked not very infrequently.
—Male, aged 43, American, widower; occupation, designer. Admitted to Presbyterian Hospital September 23, 1912.
—Always notably well except for typhoid fever in 1895, and two attacks of malaria in 1911 and July, 1912, respectively, parasites having been found.
—Moderate user of alcohol, heavy user of tobacco. No genito-urinary history obtained.
—Onset sudden on September 2, twenty-one days before admission, with severe nausea, vomiting and inability to retain any food or water. These symptoms continued for five days, at the end of which time the stomach was again apparently normal. On September 20, three days before admission, the