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War Surgery and Medicine

Clinical

Clinical

Non-icteric Cases: These cases at first seemed somewhat of a mystery and were inclined to be classed with the dyspepsias. They represented the purest form of infection with the virus and the gastro-intestinal infection, and yet it is hard to account for the fact that many had enlarged livers with no jaundice. It is best to consider cases of all grades beginning with (a) those where the infection was essentially gastro-intestinal in type and of short duration, (b) those in which the gastro-intestinal infection was associated with an enlarged liver and no jaundice, (c) those in which the gastro-intestinal infection was negligible clinically and the enlarged liver was found to account for some degree of ill-health but still no jaundice, and then (d) those with gastro-intestinal symptoms and jaundice of varying degrees.

It is impossible to say how many of the non-icteric cases occurred as these rarely came to hospital; but it is considered that there were very many of them. Eventually we came to the conclusion that a lot of persistent dyspepsia was probably originally due to the infection with the virus, and also one saw many who had gastrointestinal infections of four to five days' duration only, who had all the characteristics of virus infection.

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