MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838.
35
A concise Statement of
Symptoms on Admission.
Particulars
in regard to
Exposure or
otherwise to
Emanations
of Animal or
Vegetable
Origin.
Any other
apparent
Cause of
Attack ?
Infectious or
otherwise.
Post-morte
mAp p e a r a n c e s .
Any other Particulars likely to elucidate
t h e E t i o l o g y o f t h e D i s e a s e i n i n d i v i d u a l C a s e s .
9
10
11
12
13
Face flushed, tongue furred, skin
hot and dry, thirst and severe
head-ache. On day after
admission, the specific rose
hcoloured spots were found
on the abdomen and
chest. There was no diarrhœa, bu
t the patient complained o
f pain on pressure in the right
iliac fossa. No gurgling was
felt. Stated that he ha
d been feeling ill for a week
before admission, and had
had a rigor. On 2nd day in
hospital, temperature 102·6.
No e vi de nc e of s uc h e x- pos ur e . Ha d ha d no a gue pr e vi ous l y.
None.
RECORD OF TEMPERATURE.
Morning. Evening.
December 2nd
101·4
,, 3rd
100·2
102·6
„ 4 t h
101·4
104·0
, , 5 t h
101·0
103 ·
„ 6th
100·4
102·0
„ 7th
100·6
102·8
, , 8 t h
100·0
101·4
„ 9th
99·6
101·0
,, 10th
99·2
101·0
,, 11th
99·0
101·0
,,
12th
98·8
100·0
The highest temperature reached was 104, on 3rd day in hospital. This
case was a mild one throughout its course, the bowels had
t o b e f r e q u e n t l y a c t e d o n b y l a x a t i v e s . E x c e p t h e a d - a c h e , t h e r e w e r e n o h e a d s y m p t o m s , b u t t h e e r u p t i o n a n d i l i a c t e n d e r n e s s w e r e c h a r a c t e r i s t i c . A c a s e o f e n t e r i c f e v e r h a d b e e n s e n t t o h o s p i t a l f r o m t h e b u n g a l o w i n w h i c h S e g e a n t D u l y l i v e d , b u t i n a n o t h e r r o o m b e t w e e n a n d i n w h i c h t h e f i r s t c a s e o c c u r r e d t h e r e w a s n o d i r e c t c o m m u n i c a t i o n .
„ 13th
98·6
99·0
„ 14th
98·4
98·4
„ 1 5 t h
98·4
98 · 4
,, 16th
98·4
98·4
Complained of feeling unwell
with slight diarrhœa, rem
em-bers no rigors. Fever, loss
of appetite. Stools not of
a specific character, and the
temperature very irregular.
The origin
or cause of
the disease
cannot be
found out.
Not known. Small Intestines.
— At the lower
end of the ileum,
a large number
of ulcerated
Peyer’s patches
were found, they
being closer
together as the
1. The temperature was extremely
variable
.
3. A peculiar chocolate-colored eruption
occurred, the
spots being about
the
size of a split pea.
4. Stools not characteristic.
5. No.
6. No. Had not been away from
Bangalore
.
examination was carried nearer to the
beginning of the large intestine, the ulcers
were mostly in the wall of the intestine
opposite the attachment of the mesentery.
Some ulcers were very deep, leaving only
the peritoneal coat. As the examination
was carried upwards, the ulcerated patches
were less numerous and not so deep and
were further separated from each other.
Large Intestines.—Almost full of coagulated
blood. Solitary glands in cæcum ulcerated,
and the ulcers ragged-looking; lower down,
the glands were only thickened and infiltrat
-ed. The whole mucous membrane much
congested. One very large and deep ulcer
was found near the vermiform appendix.
Mesenteric glands much hardened and
enlarged. Spleen much enlarged and con
-gested and friable, full of very dark blood,
weight 23 oz. Other abdominal organs
healthy.
9. No.
RECORD OF TEMPERATURE
.
1877.
Morning. Evening.
December 18th
103·0
1st day of
disease.
„
19th
101·4
103·6
„
20th
101·8
103·8
,,
21st
101·4
101·8
„
22nd
101·0
101·0
„
23rd
100·6
101·6
„
24th
101·
103·8
„
25th
101·6
99·6
„
26th
99·2
103 ·
„
27th
101·0
102 · 2
„
28th
100·4
101·8
„
29th
99·4
102·4
„
30th
99·0
103·2
„
31st
100·0
103·2
1 8 7 8 .
January
1st
101·0
101·8
„
2nd
99·4
102·6
„
3rd
99·4
103·4
„
4th
100·6
103·4
„
5th
99·2
102·0
„
6th
99·2
100·0
„
7th
98·8
102·4
,,
8th
99·2
99·8
,,
9th
99·0
99·6
„
10th
98·6
101·0
,,
11th
99·6
104·0
„
12th
101·4
103·6
„
13th
100·2
101·6
„
14th
100·0
103·0
„
15th
101·4
101·8
„
16th
101·8
103·0
„
17th
101·8
103·0
„
18th
102·4
102·6
„
19th
101·6
103.0
„
20th
100·6
1 0 3 · 2
„
21st
101·8
100.0
,,
22nd
100·2
103·4