Correspondence. PSITTACOSIS OR TYPHOID FEVER?" To the Editor, The Indian Medical Gazette. Sir,?In reply to a letter in the October issue of the Indian Medical Gazette, p. 600, headed "Psittacosis or " may I be permitted to remark that Typhoid Fever? there seems to be nothing in the clinical picture of his cases, as described by Dr. Asutosh Paul, that is incompatible with the diagnosis of typhoid, or at any rate In an experione of the fevers of the enteric group? ence of medical work in India of well over 30 years, I have seen at least as many, if not more, cases of typhoid fever in which constipation was a marked symptom, as cases showing the typical diarrhoea of the textbooks. Bronchitis is in this country so common a complication of enteric fever that one is always on the look out for it in the second or third week, and I have than once seen a more definite pneumonia as a complication. I do not think cases are rare in which there are no definite gastro-intestinal symptoms, and no clinical signs except the course of the fever as shown by the temperature chart to indicate the nature of the illness. The pulse in such cases is usually slow in proportion to the temperature. Dr. Paul makes no mention of this in the account of his cases; but in the absence of any definite history of infection from birds of the parrot kind it seems reasonable to diagnose them as enteric fever.?Yours, etc., E. M. FARRER, m.b., Farrer Hospital,

Bhiwani, Punjab, India, Ihtli November, 1930.

b.s.

(Lond.).

Psittacosis or Typhoid Fever?

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