THE ETIOLOGY OF THE TYPHUS FEVER (TABARDILLO) OF MEXICO CITY

H. T. RICKETTS
1910 Journal of the American Medical Association  
It is not necessary to demonstrate by more extensive references to the literature that the disease is uncommon. We should be on the alert to discover its existence at an early stage, using, if necessary, extraordinary expedients, such as exploratory incision, in order to remove the dis¬ ease radically at a period when it is confined to the pros¬ tate. As most of the cases occur in young individuals, any unusual size of the prostate or otherwise unexplainhhle obstructive symptoms should bring
more » ... oms should bring the possibility of this tumor to our minds. Oase 1.-History.-My first ease was that of a man, aged 35, referred to me by Dr. P. R. Bolton, who had operated on him at the New York Hospital in 1904, removing from the prostate an intravesical projection which had greatly inter¬ fered with evacuation of the bladder. The portion removed was reported by the pathological laboratory to be a small round-cell sarcoma of the prostate. Examination.-The tumor of the prostate grew rapidly and the patient came under my care at St. Luke's four months after the previous operation. Rectal examination showed a diffuse, even, firm mass the size of a small fist occupying the prostatic region. Operation.-The prostate was removed en masse with the neck of the bladder by a combined suprapubic and perincal operation, but the patient succumbed to increasing exhaustion.
doi:10.1001/jama.1910.92550430001001o fatcat:gm34ujxdrbebllol7t2vnc2jdu