Lectures and essays on fevers and diphtheria, 1849 to 1879 / by Sir William Jenner.
- Date:
- 1893
Licence: Public Domain Mark
Credit: Lectures and essays on fevers and diphtheria, 1849 to 1879 / by Sir William Jenner. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![The variations in the temperature of the skin in the same patient were considerable; and in several instances where the typhoid fever was prolonged, these changes were observed to have no relation to the duration of the disease. Thus the skin hot on the 8th day was in one case warm on the 9th, hot on the 10th, warm on the 11th, 12th, and 14th, and again hot the six or seven succeeding days. And the same want of relation existed between the sweats and the duration of the disease. Thus in the case last referred to the patient per- spired during the 10th, 12th, 13th, and 14th nights—the skin having been dry during the days ; on the l7th day the skin was moist; while on the 15th, 16th, 18th, and 22d, there were no sweats either at night or during the day. Typhus Fever.—]\Iiliary vesicles were observed during life in two of the forty-three cases. In one the hygrometric condition of the skin was not noted at the time of their appearance—viz., the 12 th day of the disease ; they had dis- appeared before the patient was seen on the 16th day—the skin having been cool and dry the preceding day. This patient survived till the 148th day from the commencement of illness. In the other case the skin, hot and dry on the 11th day, was sweating profusely on the 12th and 13th—on neither of which days were any miliary vesicles present; but on the 14th day there were a few in the groin and under the clavicles. This patient died on the 15th day of the disease. There were no miliary vesicles in eleven cases. The skin in three of the eleven perspired profusely; in one it was cool, in five warm and dry; and in two it was hot and dry. No note of the presence or absence of miliary vesicles was made during life in the remaining thirty cases; but in three of the thirty some were discovered after death. The hygro- metric state of the skin, which existed for some time before the fatal termination, was not recorded in these three cases. During the first week of the disease the skin was hot and dry in two cases, and warm and dry in four—none of them being seen before the 5th day. During the second week it was hot in seven cases, two of which sweated profusely, one on the 15th, and the other on the 13th and 14th days; it was warm and dry in fourteen cases, two of which sweated profusely on respectively the 9th](https://iiif.wellcomecollection.org/image/b2192272x_0041.jp2/full/800%2C/0/default.jpg)
