On mixed types of fever in relation to the question of the identity or non-identity of typus and typhoid poisons / by Henry Kennedy.

  • Kennedy, Henry
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On mixed types of fever in relation to the question of the identity or non-identity of typus and typhoid poisons / by Henry Kennedy. Source: Wellcome Collection.

    16/20 page 16
    believe it was, and yet the rash whs a copious measly one. Lastly, the Drs. Martin, from Berlin, whose names I have already mentioned, told me the two types of fever were commonly looked on as the same disease, and that the enteric type was there called abdominal typhus. I have not the least doubt that had more time been given I could have got further evidence in the same direction ;* but enough, it appears to me, has been advanced for my pre¬ sent purpose. I do not, for a moment, assert that the question is settled on my side; but I do maintain that enough has been stated this evening to show gentlemen who differ from me the need of a cautious reserve on this question, and in not allowing themselves to come to a decided conclusion till all the facts of the case are clearly before them. Before concluding these remarks, I would advert for a moment to one other symptom which some have thought was characteristic of the emetic type of fever— l mean hsemorrhage, whether from the nose or the bowels. The London physicians especially look < n them in ties light but it certainly is not correct as regards !>uhlin. With us typhus often exhibits episfaxis, both in its earlier and more advanced stages. In the summer it is verv common, particularly when the temperature ranges high ; but it is much more frequent in some years than others. And, again, as regards bleeding Irom tire intestines. I myself have put on record some thirty cases—most of them regular * My friend Dr Grimsliaw has directed my attention to lectures by Drs. Peacock, B;«rI■ w. ami Grill. '! hese all reside in London, and have detailed cases preei.-ei vim Mar to some of those given this evening—that is, trie symptoms of typhus supervening on tlune of typhoid and p< tecfiiae appearing whilst lenticular spots w- re >till out. The ex plan at ion of all these, Genth men, is the same —that the patients caught the typhus poison at the time its symptoms made their appearance. Tnis may he the trite interpreta¬ tion ; but to myself it seems most difficult of acceptance, audit does not contravene the fact that the two types existed in the same patient at the same moment. Dr. Mur¬ chison has, 1 find, recorded similar cases, and such wid also be found, and in greater numbers, if my memory serve me right, in the works of Drs. Tlint and Bartlett of America.
    digitised image 1
    digitised image 2
    digitised image 3