I've heard Woody Guthrie's recording of Talking [Blues] Hard Work.

There is only one place, Jim Dixon et alia,
where Guthrie's delivery of the words
is emphatically coordinated with the guitar strumming (mostly I V I chords, in the major mode).

To emphasize each disclosure, Guthrie marches the terms, one term at a time, through rhythmic guitar strumming. So that one special line of text sounds like:

(I - got - the)
Fever!
Sunstroke!
Malaria!
Flu!
Moonstruck!
Skeeter [mosquito?] - bit!
Poison Ivy!
Seven-Year Itch!
    -- and - the -
Blind Staggers!

(guitar goes on strumming during significant pause for breath)

I haven't heard it in years and years,
but that bit right there
is the part I remember best to this day.