Acute Hemorrhagic Jaundice of Epidemic Nature in New York City

During the latter part of the years 1919 and 1920, there were admitted to Bellevue Hospital a number of patients with acute hemorrhagic jaundice. The disease, which previously had not been recorded in the Second Medical Division, occurred in epidemic form, usually appearing in December and in the early part of January. Sixteen of the cases in which admission occurred during a period beginning the middle of December, 1919, have been reported by Dr. Douglas Symmers,1with special emphasis on the symptomatology and pathology. In view of the fact that he was unable to produce the disease in animals, he was inclined to regard the condition as a toxic process. The purpose of the present paper is to report eleven additional cases in the Second Medical Division of Bellevue Hospital. In Dr. Symmers' group of sixteen cases, the severity of the disease was most pronounced. In general, his cases