The practice of medicine, according to the plan most approved by the Reformed or Botanic Colleges of the U. S : embracing a treatise on materia medica and pharmacy ; illustrated with numerous engravings ; designed principally for families / by J. Kost.
- Kost, J., 1819-1904.
- Date:
- 1847
Licence: Public Domain Mark
Credit: The practice of medicine, according to the plan most approved by the Reformed or Botanic Colleges of the U. S : embracing a treatise on materia medica and pharmacy ; illustrated with numerous engravings ; designed principally for families / by J. Kost. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
95/524 (page 89)
![TYPHOID FEVER. {Doihlncntcria) This affection, as already noticed, has generally been con- founded with typhus fever, and the English physicians, are still reluctant about admitting typhoid fever as worthy of con- sideration, seperate from typhus. But in our country and France, it is pretty generally recognized as a different affec- tion. The disease, anitomically considered, seems more par- ticularly to implicate the bowels and brain. Post mortem ex- aminations have discovered extensive affections of the mu- cus membrane of the lower part of the small, and upper part of the large intestines, and particularly the glands of Peyer, and sometimes those of B runner, (so named after the men who discovered them) Opposite, cf those patches, the glands in the mesentery, are also in a diseased and enlarged state. The spleen, also, in nearly all cases, is softened and enlarged; in some cases, it is found four or five times its nat- ural size. Symptoms.—The symptoms of typhoid fever, are, most of them nearly the same as typhus. Those cf the first four or five days, need not here be enumerated, as they can seldom, in the main, be distinguished from those attending typhus in the corresponding stage. About this time, or perhaps sooner, a diarrhoea sets in, and is an almost constant attendant, and about the sixth day, a peculiar eruption breaks out, over the breast and abdomen, called rose patches or sudamina. The bowels bloat considerably, and the abdomen becomes tense, and the spleen often swells so as to be distinctly felt externally under the edge of the ribs. Like typhus, this fever is charac- terized by great stupor, and generally, more or less delirium. The tongue is, generally, considerably coated, dry, and glossy along the edges, often cracked, and bleeding; the countenance is red or purpleish, and suffused; the expression sunken, va- cant, or wild, and spasms of the lips and muscles cf the jaws are not unfrequent. The ] ulse, which at first, is not generally very much accelerated, in the more advanced stage, grows more frequent and tense. Bleeding at the nose, and from the bowels, is not unfrequently an attendant. Typhoid fever is not generally considered contagious. Cause.—Among the various agents that give rise to this af-](https://iiif.wellcomecollection.org/image/b2101727x_0095.jp2/full/800%2C/0/default.jpg)
