MILITARY DEPARTMENT, 18TH SEPTEMBER 1878, No. 4838. 33
A concise Statement of Symp
-toms on Admission.
Particulars
in regard to
Exposure or
otherwise to
Emanations
of Animal or
Vegetable
Origin.
Any other
apparent
Cause
Attack?
of
Infectious or
otherwise.
post-mortem
Appearances.
Any other Particulars likely to elucidate
the Etiology of the Disease in individual
Cases.
9
10
11
12
13
Extract from Case Book.
3. None.
A d m i t t e d w i t h s y m p t o m s o f s i m p l e c o n t i n u e d f e v e r o f a r d e n t t y p e ; s k i n t e m p e r a - t u r e , 1 0 5 · 2 , e v e n i n g o f 1 4 t h . E o w e l s r e g u l a r ; t o n g u e c o a t e d w i t h y e l l o w f u r . Q u i n i n e G r s . v , m o r n i n g a n d e v e n i n g . D i a p h o r e t i c m i x t u r e e v e r y 3 r d h o u r . O n 1 6 t h , s l i g h t i l i a c t e n d e r n e s s , n o e r u - p t i o n n o d i a r r h œ a , p r o f u s e - l y p e r s p i r i n g O n 1 7 t h , s l i g h t d i a r r h œ a d u r i n g p r e - v i o u s e v e n i n g , e v a c u a t i o n s c o n t a i n e d 3 o r 4 o z . o f b l o o d . S t i l l p e r s p i r i n g . T o h a v e P i l . P l u m b : c . O p i o a n d i c e d d r i n k s . O n 1 8 t h , n o r e t u r n o f h æ m o r - r h a g e c o n s t i p a t e d . O n 2 4 t h , t e m p e r a t u r e s n o r m a l . N o e r u p t i o n . O n 2 6 t h t o 2 8 t h , t e m p e r a t u r e i n c r e a s e d . F u r - t h e r p r e c i s e d e t a i l s a b s e n t t i l l 1 5 t h D e c e m b e r , w h e n t h e t e m p e r a t u r e w a s n o r m a l . F r o m t h i s d a t e c o n v a l e s c e n c e a d v a n c e d t i l l 2 2 n d D e c e m b e r , a f t e r w h i c h n o f u r t h e r r e c o r d o c c u r s .
4 . Y e s O n e v e n i n g o f 1 6 t h , s t o o l s f l u i d m i x e d w i t h b l o o d , s u b s e q u e n t l y c o n - s t i p a t e d . A f t e r w a r d s , t h e i r c o n d i t i o n v a r i e d , s l i g h t d i a r r h œ a a l t e r n a t i n g w i t h c o n s t i p a t i o n .
RECORD OF TEMPERATURE.
Morning. Evening.
November 13th
100·5
103·4
„ 14th
103·2
105·2
„ 15th
104·4
105·4
„ 16th
103·0
104·4
„ 17th 103·3
102·8
„ 18th
100·0
101·6
„ 19th
100·0
100·4
„ 20th
100·4
102·0
„ 21st
100·4
102·2
„ 22nd
102·2
101·5
„ 23rd
99·2
100·4
„ 24th
98·0
101·0
„ 25th
98·6
101·0
„ 26th
98·0
99·8
„ 27th
97·8
100·2
„ 28th
98·4
102·0
„ 29th
100·8
103·0
„ 30th
100·2
103·0
December 1st
101·5
102·8
„ 2nd
100·0
102·8
„ 3rd
101·0
104·0
„ 4th
101·0
103·6
„ 5th
100·4
103·8
„ 6th
100·8
102·0
„ 7th
99·8
101·4
„ 8th
99·0
103·8
„ 9th 100·0
102·8
„ 10th
100·0
102·8
„ 11th
100·0
99·2
„ 12th
99·0
99·0
„ 13th
98·4
99·6
„ 14th
98·6
98·6
„ 15th 98·0
98·0
„ 16th
98·4
98·6
„ 17th
98·4
98·8
„ 18th
98·4
99·2
„ 19th
99·8
99·6
„ 20th
100·2
Admitted 21st November with
tonsillitis, which disappeared
in a few days. On 25th, the
attack of continued fever
commenced; bowels confined,
tongue much furred and skin
very hot and dry; had had
no previous shivering. Tem
-perature 104·6. On 4th day
of fever, temperature 101·4.
No diarrhœa. On evening
of 6th day of disease, tem
-perature, 104.6, and next
morning he was insensible.
Abdomen tympanitic, and
diarrhœa had set in during
night. No iliac tenderness
and no enteric eruption. On
8th day of disease, there was
no diarrhœa, but there was
pain on slight pressure in
right fossa. In the after
-noon of this day, he became
much worse. Temperature
at 4 P.M., 105·, and he died at
8 P.M.
No evidence
of any.
None.
Great omentum
much congested.
Stomach—Whole
surface much
congested. One
None.
RECORD OF TEMPERATURE.
Morning. Evening .
large patch of extravasated blood. Solitary
glands at commencement of duodenum
enlarged,lower down infiltrated with typhoid
matter and elevated. Peyer's patches nea
r commencement of ileum thickened an
d infiltrated with typhoid matter; further
down, the specific lesions increased both in
number and severity, and near its termina
-tion large masses of ulceration were
observed.Cæcum congested. Large intes
- t i n e c o n t a i n e d o c h r e - c o l o r e d f æ c e s S p l e e n m u c h e n l a r g e d v e r y f r i a b l e w e i g h t 1 9 o z . L i v e r h e a l t h y . K i d n e y a n æ m i c .
November 25th
104·8
1st day of
disease.
„ 26th 102·8
103·0
„ 27th
100·8
101·4
„ 28th
99·6
102·4
„ 29th 100·6
101·8
„ 30th
100·8
104·6
December 1st
102·2
103·2
„ 2nd
103·7
105·