The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates.

  • H. A. Hare
Date:
[1909]
Catalogue details

Licence: Public Domain Mark

Credit: The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    of his illness there was rapid respiration (-J2 per minute), a ptilse- rate of 120, some cyanosis, a feeble, painful cough, and consolida- tion of the entire lower lobe of the right side, with exaggerated breathing on the left side of the chest. His temperatiu'e rose from 102° to 103°, and the bowels were costive to a marked degree. The s])utiun was rusty. A diagnosis of cr()uj)ous pneumonia was made, and not until the tentli day of his illness did a persistent diarrhoea of ochre-colored stools, with rose spots, appear. The spleen had been found enlarged at the first visit. The difficulty in diagnosticating these cases lies in the distincdy local manifestations and the fact that in some patients the fever may be quite high, delirium of an active form may be marked, and every symptom pointing to intestinal typhoid lesions may be absent. The question naturally arises as to the frequency with which this form of enteric fever occurs, but statistics concerning it are difficult to collect, since in many instances the condition is never recognized, or is recognized very late, and is not by any means always reported. There is danger in these cases of still another error in diagnosis, and care must be exercised that a diagnosis of pneumotyphoid is not made, when in reality the condition is one of tuberculosis of the lung, for in some cases of this character the rapid onset of fever, rigor, quickened respiration, cough, and the development of physical signs of consolidation, coupled wnth the continuance of fever after the time for ordinary crisis, ^^•ill show that the disease is not croupous pneumonia. As a matter of fact, the cases of acute tuberculous pulmonary consolidation simulating pneumonia at first or pneumotyphoid afterward are much more frequent than is pneumotyphoid itself, and careful study of the case itself, or its history, and the microscopic examination of the sputum may reveal the tubercular character of the process. In all cases of suspected pulmonary tuberculosis, however, the absence of bacilli from the sputum wall not negative the diagnosis of tliis malady. for until some tissue breakdown occurs the bacilli may not appear in the sputum. It has already been pointed out that there is a form of pneumonia ushering in typliiod fever quite difl'erent in cause from that just
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