Volume 1
A text-book of medicine for students and practitioners / by Adolf v. Strümpell.
- Adolph Strümpell
- Date:
- 1911
Licence: Public Domain Mark
Credit: A text-book of medicine for students and practitioners / by Adolf v. Strümpell. Source: Wellcome Collection.
62/874 page 34
![in combination with 15 gr. (gm. 1) of sodinm bromid, may be tried without hesitation. The numerous other complications and sequelae which may occur, but which cannot all be mentioned here, should be treated on general principles. The prophylactic measures to avoid the spreading of the disease can be only briefly referred to. The most careful isolation of the patient is naturally of the first importance. If this be not possible in his home, he should be trans¬ ferred to a hospital. Special attention should be paid to the very mild cases (“bacilli carriers,” vide supra). The careful disinfection of the excreta (urine and feces) is of great importance. The best disinfectant is “ Kresol- wasser,” as prescribed by the Royal Bureau of Health (2 ounces of liq. cresoli saponatus in a liter of water), which is added in equal parts to the feces, urine, or vomitus. Milk of lime, chlorid of lime, a two-per-cent solution of corro¬ sive sublimate, lysol, etc., may also be employed. We should further take care that bedpans, bedclothes, linen, the rectal thermometer, etc., should be handled by other persons as little as possible, and should be carefully disinfected. The extensive investigations into the question of vaccination against typhoid have not led to any definite results, although they are by no means hopeless. [Late reports are encouraging.] APPENDIX PARATYPHOID FEVER Schottmüller and others have repeatedly observed a typhoid-like disease, usually having a favorable course, in which the bacilli found in the blood, stools, and roseola have certain differential cultural characteristics which dis¬ tinguish them from the typhoid bacilli. Thus far two types (Types A and B) have been identified. The blood serum of paratyphoid patients does not agglutinate typhoid bacilli, but does agglutinate the paratyphoid organisms. This circumstance is especially valuable in the diagnosis. The paratyphoid bacilli are, however, usually agglutinated by true typhoid serum. Further observations must be made to show the practical significance of the discovery of paratyphoid. It is worthy of mention that the so-called Bacillus paratypho- sus B is often the cause of cases of “ meat poisoning.” CHAPTER II TYPHUS FEVER CSpotted Fever. Petechial Typhoid. Febris exanthematica.) Typhus fever is an acute infectious disease, perfectly distinct from typhoid fever, but formerly often confounded with it. The similarity of the two dis¬ eases, which led to their similar names, consists only in the grave general con-](https://iiif.wellcomecollection.org/image/b3136276x_0001_0062.jp2/full/800%2C/0/default.jpg)
