On the identity or non-identity of typhoid and typhus fevers / by William Jenner.
- Date:
- 1850
Licence: Public Domain Mark
Credit: On the identity or non-identity of typhoid and typhus fevers / by 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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![termodiate portion of this lobe was ?ion-graiiu]ar; of a deep ])ui-ple colour ; sank in water ; contained no air ; on pressure, gave exit to Ji bloody-looking fluid (very different in appearance from the pale, dirty, red muco-purulent fluid above described). The transition from the one to the other of the three above de- scribed pathological conditions, was at some places gradual, at others abrupt and well defined. The right lung weighed 2 lb. 4 oz.; its inferior lobe resembling the corresponding part of the left lung, but a much larger portion, more than half, was in a state of granu- lar consolidation. Of the granular non-circumscribed form of lobular consolida- tion, the following account of the inferior lobe of the right lung of a man, ajt. 23, who died on the 20th day of disease, pre- sents an example. Near the base of the lobe were two or three masses of consoHdated tissue, of a dark colour, which sank in water, and readily broke down under pressure. Their cut sur- face was granular; the tissue between tough and crepitant, as in its normal condition. The following particulars of the lungs of a female, aged 32, who died on the 34th day of disease, exhibit a condition of the pulmonary tissue, which appears intermediate between the non- granular and the granular consolidation. The right lung weighed 15;^ oz.; was crepitant throughout; felt more solid behind than before ; was of a dirty red colom'; and floated in water when cut in pieces. The left lung M'eighed 15^ oz. (i.e. was comparatively heavy) ; its most depending portion (the subject being on its back) felt solid, contained little air, sank in Avater, broke down readily under pressure, but had not the appear- ance of solidified lung in the second stage of either the so-called vesicular or intervesicular pneumonia. Lobar granular consolidation was, in three instances, conjoined with the foregoing conditions; i. e., in one of the three cases with abruptly defined lobular granular consolidation; in one with granu- lar consolidation, the outline of which was not abruptly defined; and in the third it was conjoined vnth. circumscribed Jio/i-granular consolidation. Typhus Fever.—Thirty-five cases are eligible for analysis. In two of these thirty-five the lungs were healthy in all particulars. In a third case, the posterior congestion was so slight, that it could scarcely be considered a deviation from health. The remaining thirty-two cases may be thus grouped. 1st, Three cases of simple congestion of the posterior part of the lungs. In two of the three, both lungs were equally affected; in one the left lung was more congested than the right. 2d, Three cases of congestion of the posterior part of the lungs, with diminished consistence of the congested parts. In one of tlie three, both lungs were equally affected; in another, the right was more deeply diseased than the left; in the third, the left lung only was](https://iiif.wellcomecollection.org/image/b21954653_0100.jp2/full/800%2C/0/default.jpg)
