Pub Date : 1950-09-01DOI: 10.2105/AJPH.40.9.1151-A
C. Jordan
Brucellosis (Undulant Fever) By Harold J. Harris' (2nd ed.). New York: Hoeber, 1950. 617 pp. Price, $10.00. The current edition of this volume contains a foreword by Walter M. Simpson, M.D., of Dayton, Ohio. The first edition was published in 1941. The book's 11 chapters bear titles: Introduction, Etiology, Epidemiology, Pathology, Symptomatology, Diagnosis, Psychologic Studies in Chronic Brucellosis, Prognosis, Treatment, Prophylaxis, and Addenda. These are followed by a Bibliography, an Index of Authors, and an Index of Subjects. Among admirable features of the volume is a 12 page review of milestones in knowledge of brucellosis. There is interesting discussion of contributions by other workers and of various aspects of the subject. Detailed consideration is given to symptomatology and treatment of the disease, to the epidemiology, pathology and laboratory procedures. The list of 742 references in the bibliography is evidence of the wealth of material presented and of painstaking effort required in compilation. The book does not emphasize sufficiently the importance of blood culture and serum agglutination findings, both of which under favorable conditions prove positive in a high percentage of cases of acute and sub-acute brucellosis. The occurrence of chronic brucellosis is unquestioned when symptoms persist or recur in some patients who were observed during acute illness and whose diagnosis was confirmed at the time by positive blood culture or by agglutination in titers of 1-80 or above. However, the author's concept " that there is a chronic illness occurring in large numbers of patients with only low grade or no actual febrile response," is questioned by numerous competent observers with long experience in the clinical field of brucellosis. The author's statement that "a patient once infected must be considered as potentially always infected " presents a gloomy prospect for those who fear they will never recover; furthermore, the statement is inconsistent with the well established epidemiologic principle that many persons become infected and apparently acquire immunity with but few, or indeed without any, clinical or subsequent manifestations. CARL F. JORDAN
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