Licence: Public Domain Mark
Credit: Report on yellow fever / by James Gillkrest. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![114 lienLittent Type. 1 would especlally'call attention to two memoirs by Dr. Rufz, Paris, 1842, on the Yellow Fever epidemic of St. Pierre, Mar- tinique, prevalent from 1838 to 1841. I must confine myself to the statement, page 33, of his having “seen no ca&e?, favourable to contagion;—also, page 57, that from September 1839 to the end of December 1840, the epidemic at St. Pierre, in the greater number of cases, assumed an intermittent or remittent form, ‘'■hien prononcee. The sul- phate of quinine employed in such cases, appears to have been efiicacious. He states that the surgeon of the frigate “ Herminie, treated, in September 1838, at Vera Cruz, above 100 cases of intermit- tent “ vomito. I would refer the profession at large to these memoirs, in which will be found superabundant proofs of the relationship between the Yellow Fever and the periodical forms of fever. The Reporters, Drs. Londe and Chervin, refer also to the me- moir of Dr. Dutroulau on the subject of a similar epidemic at Fort Royal, Mvartinique, with well-marked remissions. M. Bertulus, in his Memoir on the Importation of Yellow Fever into Europe, says (p. 66): “These symptoms” \i. e. general] “ continued from twenty-four to thirty-six hours, sometimes even longer, and were accompanied by an extra- ordinary alteration of the countenance; then true paroxysms of pernicious intermittent fever speedily appeared, and their stages, though at times sufficiently distinct, in the great majo- rity of the cases ran into each other; these paroxysms succeeded one another with such rapidity, that it was really impossible to detect the moment of intermission, which was looked for with impatience, in order to administer the sulphate of quinine.” A wmrk published by Dr. Bartlett, Professor of Medicine, of Transylvania College (P/w7, 1847), on the history, diagnosis, and treatment of the fevers of the United States, is full of information on the subject, and must henceforth be appealed to by all who desire information on the Yellow Fever. We are there told (what indeed was abvays plain enough) that the best description of periodical fevers is not to be learnt in England, where, in fact, the “pernicious forms so fully de- tailed by ’I’orti, Ramazzini, Baglivi, Lancisi, and other old Italian writers, are not to be found in the experience of prac- titioners. Amidst the great variety of information on the subject of.. American fevers, Dr. Bartlett, refers to the following, from a paper by Dr. Lewis, of Mobile, who attended during the epi- demic of 1843 cases in the southern part of the city, Avhere the remittent fever prevailed extensively both among the natives and acclimated. Dr. Lewds describes a form of disease which he calls remittent and intermittent Yellow Fever,, and tells us that](https://iiif.wellcomecollection.org/image/b22375880_0014.jp2/full/800%2C/0/default.jpg)
