Excerpt from Gaillard's Medical Journal, Vol. 58: January, 1894
In regard to the aetiology, it is well known that quite a number of cases of this malady occurred in our city at that time. As to the exciting cause, it may be that the long hours required of a bank clerk and the overwork, the fatigue, and the mental excitement connected with his duties, exerted a potential influence. Then, too, I noticed that the plumbing at his home was defective.
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