The parasite of malaria as observed in the malarial fevers of the south of Spain / by Robert J. Marshall and George Thin.

  • Marshall, Robert J.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: The parasite of malaria as observed in the malarial fevers of the south of Spain / by Robert J. Marshall and George Thin. Source: Wellcome Collection.

    10/54 page 6
    paroxysm as they are observed in Spain, in order to show that they agree essentially with those which characterise fevers of the same type in other parts of the world. Under the term irregular fevers we comprise those in which there is no well-marked regularity, either in the time of occurrence of the paroxysm, the length of inter¬ mission, or the severity of individual paroxysms. In many cases in which the three stages of the fever are well marked, a considerable irregularity is observed in the temperature chart. Two paroxysms may occur in the same day, or the periods of intermission may be irregular. In some rare cases there is a paroxysm every ten to fifteen days. In others there is no well-marked paroxysm. The cold stage may be absent or be very slight, and the hot stage may or may not be noted by the patient. Sweating may be profuse, or slight, or absent, and one paroxysm may pass into another without any intermission. In these cases the symptoms are usually headache, aching in the bones, and general depression, the patient feeling ill and incapable of doing anything. The appetite is generally poor, and there is a more or less marked cachexia. Under this class come some of the very acute summer fevers, in which there may be no normal tempe¬ rature registered for a few days, and in which the patient is quite prostrate. In this case there is generally intense headache, and aching in all the body, and the anaemia and the weakness consequent on the attack are very great. In many cases there is in addition to high fever very acute vomiting and jaundice, resembling a severe bilious attack; or there may be choleraic symptoms, which are apt to be misleading regarding the nature of the disease. Attacks of pernicious fever in which death occurs rapidly whilst the patient is in a state of coma are some¬ times found here, but they are rare.
    digitised image 1
    digitised image 2
    digitised image 3