An inaugural essay on the bilious typhus which prevailed in Bancker-Street and its vicinity : in the city of New York, in the summer and autumn of 1820 / by Richard Pennell.
- Pennell, Richard, -1861
- Date:
- 1821
Licence: Public Domain Mark
Credit: An inaugural essay on the bilious typhus which prevailed in Bancker-Street and its vicinity : in the city of New York, in the summer and autumn of 1820 / by Richard Pennell. 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.
24/84 page 18
![toms with typhus, we shall soon have occasion to speak more at large. At present, we will illustrate the co-existence of typhoid and bilious symptoms, by instancing bilious remittent fever, which, from the unfavourable circumstances under which it sometimes exists, is apt to terminate in typhoid symp- toms. But in many of those [cases of bilious remittent fever] that arose at Jamaica, little or no remission was to be perceived ; and it was distinguished from the ship fever, by the bilious vomitings and stools; more violent delirium and head ache; and by being attended by less debility. The greater tendency to the continued form at this time, was probably owing to this circumstance ; that the men who were exposed to the land air, in wooding and watering, were then exposed also to such causes as naturally produce continued fevers; such as infection; the foul air of the French prizes •, intemperance, and hard labour. There was, in some cases, a yellowness of the eye, and even of the whole skin, but without the other symptoms that char racterize the yellow fever, properly so called, while others had every symptom of it. In cases that proved fatal, the symptoms, for some time before death, resembled very much those of the fever be- fore described, [ship fever,] at the same stage. There was either coma or constant delirium ; great seeming anguish; the mouth and tongue very dry, or with only a little ropy slime; a black crust on the teeth; picking of the bed- clothes, and involuntary discharges of urine and freces*. According to Dr. Moseley, an extraordinary putrid bi- lious fever, (thought by him to be a higher grade of the bilious remittent fever of the West Indies,) made its appearance among the troops quartered at Jamai- ca, in the West Indies, in the latter part of October, 1780. k' This fever came on with sudden loss of strength; nausea, clamminess in the mouth ; the eyes were dull and tinged with bile ; they were also sunk in the head : there * Diseases of Seamen, p. 393—1.](https://iiif.wellcomecollection.org/image/b21210974_0024.jp2/full/800%2C/0/default.jpg)
