Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

192/440 (page 174)

with plitliisisj pneumonia, clironic Lroncliitis, liemiplogia, erysipelas, bedsores, diarrhoDa, &c., to one or otlier of which diseases four fell victims, the secondary affection generally declaring itself after a temporary amendment. Let us now inquire into the state of the case in typhoid fever. I find Montault (p. i8), when treating of con- valescence, remarking, that relapses are easy in that period. Louis,^ speaking of the same period, uses these words : Yet several of them (the healthy functions) were re-estahlished very slowly in several individuals, and con- valescence was thereby retarded. The heat was more or less great; the pulse continued more or less quick; the diarrhoea persisted, though it could not always be referred to impru- dences in diet. This is all I have been able to find in the various authors I have consulted. I shall now cite several cases in point. On the 26th of February, 1838, a young man, seventeen years of age, was admitted to the wards of the Glasgow Fever Hospital. He had been ten days ill with most of the symptoms of follicular enteritis. On admission he had a few rosy- spots on the belly, very red and papillated tongue and fauces, circumscribed flushing of cheeks, disturbed sleep, tickling cough, extensive bronchitis, dull pain, tumefaction, and gurgling in the belly, with moderate diarrhoea. He had expistaxis on the 12th, i8th, igth, and 23rd days of the disease, and on one occasion to the extent of one or two pounds. The eruption became pretty copious, then declined, and on the 30th day disappeared. At that time the pulse, which had ranged between 104 and go, fell to 80 and 76; the bronchitis all but disajDpeared; the tongue, which had been excessively red, chapped, and aphthous, became smooth and less florid; the gurgling less; and the appetite good. On the 2oth March (the 32nd day), he had rigors, continued on the 2ist with rise of pulse to 104, and followed on the 23rd by pretty copious eruption on breast and back, by return of thirst, clamminess of tongue, loss of appetite, sibi- lant wheeze in chest, renewed tenderness of belly, frequent bilious vomiting, continued for five days, and epistaxis for ' Vol. ii, p. II.