Case XXIII (5).—History.
—J. C., man, aged 21, entered Cook County Hospital, Aug. 21, 1907, to the orthopedic service of Dr. E. W. Ryerson. He was born in Italy, moved to the United States at the age of 1 year, and lived in Chicago since. He went to work at the age of 14, and has been engaged in peddling and factory work. For several months previous to his illness he worked in a tobacco factory and inhaled considerable tobacco dust. He also chewed considerable tobacco while in the factory. When at home he lived under fair hygienic conditions, but during the fall preceding the onset of the disease, after getting into trouble and being expelled from home, he slept in exposed outbuildings and basements. The previous and family history are unimportant.He caught cold Nov. 15, 1906, and was confined to the house for