Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

225/440 (page 207)

hypothesis (for it is a pure liypotliesis), there should be in typlius witli scanty eruption a decided abdominal determi- nation; but the fact, as undeniable as it is conclusive, is exactly the reverse; for numberless cases of typhus with scanty eruption are remarkable only for their mildness and the absence of any visceral complication. This is particularly the case in children, in whom the eruption is seldom seen. We may also conclude generally that the facts detailed go against the opinion of Chomel (p. 336), that the cutaneous exanthema offers the same characters in the two affections; the only differences being in the number of the spots, and the time of their appearance, and that, on the contrary, the typhous differs from the typhoid eruption in its form, its duration, the changes it undergoes, and the relation it bears, as to colour and quantity, to the severity of the disease. V. In the plan I laid down, I proposed to consider some of the anatomical lesions. To enter on a comparison of the whole pathological anatomy of the two diseases were a task as tiresome as it would be barren of any definite results. Instead, therefore, of inquiring into the state of all the organs in all the different cavities, I shall at once meet the question. Is the lesion of Peyer's glands so constantly met with in typhoid fever, frequently, or is it ever, found in typhus ? Chomel (p. 339) appears to me to put the question in its true light. His third general conclusion is as follows: If further observations demonstrate in typhus anatomical lesions similar to those met with in the typhoid affection, the identity of the two affections would be put beyond a doubt. To the philosophic caution of the inference of the French professor the following remark offers a strong contrast. A reviewer of various works on typhus and typhoid fever, in the ^British and Foreign Medical Eeview^ for last year, after asserting (p. 432), that the symptoms during life are the same, and quoting a passage from Gauthier de Claubry (referring to the experience of four out of twenty-two observei;s who described the epidemics of army typhus during the wars of the Empire as decisive of the question), thus proceeds, We do not know that any additional facts from the morbid