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Malignant Form Meningitis Siderans. This differs from the ordinary form in its extreme rapidity and severity. I have known death occur in eight or nine hours. The patient stricken with violent chill, vomiting, headache, moderate fever, perhaps with convulsions, cyanosis, delirium, coma, purpuric eruption, and death in rapid succession. These cases are more common at the beginning an epidemic and in certain seasons. Abortive Form.
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