Contributions to the pathology and therapeutics of typhus fever / by Joseph Bell.

  • Joseph Bell
Date:
[1860]
Catalogue details

Licence: Public Domain Mark

Credit: Contributions to the pathology and therapeutics of typhus fever / by Joseph Bell. Source: Wellcome Collection.

    27/100 (page 411)
    THE GLASGOW MEDICAL JOURNAL Vol. VIII.] APRIL, 1860. [No. 29. ORIGINAL COMMUNICATIONS. I.— Contributions to the Pathology and Therapeutics of Typhus. By Joseph Bell, M.D., one of the Physicians and Clinical Lecturers, Glasgow Royal Infirmary. No. II. LESIONS OF THE INTESTINAL MUCOUS MEMBRANE. In my last communication I solicited attention to two facts—1st, that the cases which I narrated were undoubted examples of typhus; and 2nd, that the abdominal lesions found to be present were those which the advocates of the “ non-identity ” theory contend are never present in that form of fever, but, on the con¬ trary, constitute the pathological condition peculiar to the so-called typhoid. Before entering on the consideration of this important question, I deem it necessary to say a few words on the following points:— 1st. The nature of the abdominal lesion. 2nd. Its relation to the fever. I. The Nature of the Abdominal Lesion.—The diseased state of the intestinal mucous membrane in fever is a discovery of modern times. Though glimmerings of a knowledge of this local affection are to be found in the works of Bonetius, and also in the writings of older authors, yet there is nothing definite to be discovered prior to the middle of the last century. In the year 1750, Sir John Pringle published the result of the post-mortem examination of ten cases of fever, and stated that he found “the intestines particularly disposed to mortify.” Ten years afterwards, Roedererus and Waglerus made numerous examinations of the patients who died in the epidemic at Gottin¬ gen, during the occupation of that city by the French. These