Document dnrn3oaO6dpXGN66Gj7B8x97G

February 2.0, I J k b Dr. Leiand L, Brown 711 First National' Bank Annex Mobile 13, Alabama Dear Doctor Brown: ' I have read with a great deal of Interest^ the clinical record of your patient Ir, . It would seem that the chief complaint and present Illness suggest t-.e probability of some obscure infectious agent as being responsible for the symptoms noted. This Is more likely because of the presence of low-grad fever which seldom or never Is associated with chemical intoxications of mild degree sxeept as the result of soma complicating factor. The nausea arid vomiting and psychasthenic symptoms noted may bo associated with chronic gasoline intoxication though this Is unlikely because of the relatively insignificant nature of the occupational exposure --commonly encountered in refine ry laboratory work, 'however, because of personal idiosyncrasy, gasoline vapor inhalation might well initiate or exaggerate those symptoms In the presence of Illness from other cause, I should think that if fever persists a renewed search for the responsible factor should be initiated including repetition of the laboratory work noted and a blood culture if thought feasible. The essentially negative character-of the physical examination, chest X-ray and laboratory findings are interesting in view of the rather long duration of the illness, ana X_ am glad to know that your latest interview with Hr, indicates that he Is greatly improved, Thapk you for your Immediate attention and complete record* Sincerely yours, KYKjrms KE 0016384 K. V. Kitzmiller, i t , D ,