On the temperature in diseases : a manual of medical thermometry.

  • Carl Reinhold August Wunderlich
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the temperature in diseases : a manual of medical thermometry. Source: Wellcome Collection.

Provider: This material has been provided by the Gerstein Science Information Centre at the University of Toronto, through the Medical Heritage Library. The original may be consulted at the Gerstein Science Information Centre, University of Toronto.

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    or begins to rise towards the end of the attack; and sometimes highly febrile, or even hyper-pyretic temperatures are met with. The course of the temperature in ijelloio fever has been made known to us through an interesting paper of SchmicUlein's in the ' Deutsches Arcliiv filr klinische Medicin/ IV, 50. According to him the temperature is highest in the first few days of this disease, and very often reaches a height of from 40° to 41° C. = 104° to i058° T., very frequently with slight evening exacerbations. From the fourth to the fifth day the temperature steadily falls, and sinks down to normal, or even below this. In cases which end fatally it rises again towards the end some 2°C. = 36° P., or even more. In suppurative inflammation of the liver, the temperature, with the abscess of the liver, may follow the same course as in })y8emia, or in chronic suppurations. Fmntzel (in the ' Berliner Wochen- schrift,' 1869, p.5) quotes Trauhe as saying, '^Repeated attacks of severe rigors with great elevation of temperature are only observed in two diseases of the liver—in blennorrhoea of the gall-ducts, and in abscess of the liver.'' Further on (p. 13) he says: With the exception of abscesses of the liver originating in pyemia, endocar- ditis, and pyle-phlebitis -^ all the other forms, directly they take on an intermitting fever, and pursue their course accompanied by attacks of rigors, constantly exhibit a perfectly regular course all through; that is, paroxysms of fever preceded by rigors, or febrile exacerbations occur; and it is a matter of indifference whether they maintain the type of a simple quotidian, or of a duplex quotidian, or that of a tertian; it is always just at or close to a definite period of time, as in malarial disease; whilst, on the other hand, those fever-paroxysms and exacerbations induced by pycemia, endocarditis, and pyle-phlebitis,^ which are preceded by a rigor, always exhibit an irregular rhythm throughout, with very much shorter intervals, occurring from three to four times in the twenty-four hours. XXIII.—Lues (Constitutional Syphilis). I. By the term I/ues I mean those numerous and complicated affections which have hitherto been known by the name of secondary and tertiary syphilis. [See Note to page 247.] ' Pyle-phebitis or pylo-phlebitis (7ri;Xj/, the vena porta—phlebitis, inflamma- tion of a vein). Term for inflammation of the vena porta.—'Expository- Lexicon,' Dr. R. G. Mayne.