Semi-weekly standard. [volume] (Raleigh, N.C.) 1853-18??, 1862-11-18
Gbt gtarS.arS.
. lErom tha Rirhmond Enu n

From the Richmond Enquirer'l,
Remark, on Camp Fssss BY sg slice. Rr1e
Since our present struggles for Independence, our
armies have been infested WITH and have suffered
to fearful exteM from Specuar .malady termed
81 ~ (ntnp feyernaI = : " - -.t,.s-s'
while there yet exist doubts in the minds Of
many that the fever infesting camps presents SUI
Hcient pecaharty of type TO enttle 1t to speclne
character cr designation, can see no good reason
WIN the nec,l;ar Influences of camp life should not
generate disease presenting equally pecuilar Char
s Gaasss I'll NAV y think, be correctly assumed
That camp fever is due to no single cause but to
fcombination of many and diverse Circumstances,
brought to bear on the system ana cooperating ior
!. certain period to impair the general health, {
= Food both insufficient in quantity and variety;
the want of fresh vegetable food excessive fatigue
and exposure the habitation of close, crowded and
Differentiated tents; the noxious exhalations from
ucleaniy camps and tents are all fruitful sources
for the origin of this fever. Nervous prostration
resulting from extreme mental depression and anx-
ety ard extreme change of habits from those Of the
simple and regular character, peculiar to our agri
cultural population to those Of extreme irregularty
in army life r.s +,
a.. Our, armies are made up in great part from the
rural population whose habits of sleep, eating and
exercise are observed with great regularity Hence
fEe tedious and dangerous seasoning process neces-
sary to fit this class of people for army life. -s
* Probably of all single causes contagion or infec
ttion, when once generated and under favorable cir
cumstances, is the most actively productive of this
affection Nurses, and other healthy persons occu
plying tents or rooms, with cases of camp fever are
peculiarly liable to contract the diSease Again,
patients i'll with this affliction, on returning home
from the army, are almost certain to disseminate it
among families and neighborhoods - s.
These facts go far to prove the infectious proper
fioc0 fa fpvpr ip,r.tn
tant preventive measure, the necessity Of always
separating the healthy from the sick Among 9TH
er predisposing causes, there may be enumerated
the various affections incident to camp fe to which
soldiers subject in rapid succession, all tending
to impair the constitution City troops VIGOROUSLY
resist with greater obstinacy, the 4 asses of camp
than those from rural districts Thsform being
more thoroughly Injured to defective ventilation, in,
lection and irregular habits. ..-
StdSes.-ln character with the disease, and as
matter Inconvenience, camp fever may bedivided into
three distinct stages. The first or Preliminary
thesecond, or Febrile; the last or stage of Depres
zion, or Typhoid stage
The second appears 20 be the stage of Febrile-re-
action following the rstimpression of the morbid
causes, brought into operation during the Prelimi.
nary stage. Where this has been tedious and ex-
haustlng type Of fever during the second stage
Ewillb be adynamic. But to the contrary when the
first stage has been brief and rapid the second will
be attended with high febrile excitement
- Preliminary or Stage Of Maturation Attacks
OF camp fever are often maturing for many weeks
preceding the formal onset of the disease Persons
may be presenting all the preliminary indications
for many weeks though moving about and grad.
ually declining and always complaining of Hide
fined sensations of general bad health They are
troubled with slight diarrhea; accelerated pulse
without fever, headache with Neuralgia symptoms
perVadng different portions of the system; loss %
appetite and strength, with progressive emaciation
and retraction of the abdomen This latter symp
tom is characteristic In some cases, while the ap-
petite is voracious, the emaciatlon continues
Not unfrequently in connection with these dis
tressing cough pertnaciously cings to the patient
Thus assiinilatng the early stages of tube:cular
consumption or marasmus. Occasionally dropsi-
y cal symptoms appear during this stage with albu
mInous urine. ln majority of cases, while all or
most of these symptoms may be present this stage
is of shorter duration.
The Second, OF Stage Of Fs5rile Reqcfion-This
stage may commence with single distinct chill, or
succession OF chls followed by fever of daily &C.
currence, resembling quotidian ague, or the type
of fever may assume the continued form from the
beginning During this stage the febrile reaction.
except IN decidedly malignant cases. is usually high
with considerable aggraYation Of al, the precednC
symptoms, 1t is a rare circumstance here to oh.
serve coated tongue It's almost invariably clean
and red out not Oery moist During this stage the
form of fever is often decidedly RENTING The
tebrlle exacerbations are high attended with fire.
9uent pulse, neuralgia pains in the head, back and
limbs. Camp fever, though often assimilatinc at
TINS period the ordinary masnatic feyers in type,
appears in these forms in localities where the latter
never prevail. This stage usually does not exceed
in duration eight or ten days
Inc lherd, or Adyndn1fc St1ge-This is pecu-
lary the stage of vital depression, in camp fever
during which, all of its leading elements and fea.
lures are developed . ~
The relationships existing between the febriIe re-
acaion ana crculatOry excitement observed in the
early periods, fail to correspond in this While the
degree OF animal temperature diminshes the circn.
latlon increases in certain ratio This difference
continues 70 increase until tendency to health is
established when the normal relationship or balance
Is RESUMED. 1t IS in this stage that the nervous
system becomes seriously unbalanced in the form
OF super somnolence, and deirium. In some cases
ot cAulP FEVER d an anomalous character delirium
appears from the beginning and continues fcr: sew.
era weeks, the subject having but little fever and
belng aole TO move about as usual. presenting the
appearance of ordinary lunacy.
In otner instances, the form of delirium presents
tne identical characteristics of delirium treipens
lympanltls, according to my own observation. Is
very rare IN tins affection. 10 the contrary, anoth
o ac'e[suc symptom, extreme reduction and
retractlon OF the abdominal walls takes its pace ar
this stage. This generally progresses to sncb an
extent thai the spinal column and pulsations of the
aorta can be felt without pressure In connection
with this condition diarrhea is almost uniyersallv
present. AT this period hemorrhaget ather from
the nose gums, stomach or intestines, is common
comPncatl9n; Inc blood exhaled is generally thin,
Serious, and but little disposed to coaeulate The
rosecolored euptions of the Enterc Fever of IouiS
have never observed in this affection. Nor am I
aware that liberation of Peyers glands is ever re.
'ealed aiter death The Neutrality-suspicious. which an
noy the patient in the early stages disappear in this
Inc varying conditions and appearance of the
tongue during the progress of camp fever are highly
CHARACTERISTIC of important morbid changes in ~
vial processes OF secretion, nutrition, Circulation
aud dlsintegration Of tissue: Rarely heavily coated
1t is usually clean. red and smooth and always Dr.,
at this stage, If the case be at all serious In al
such cases, the organ becomes assured or cracked
This cannot be ascrbed to want of moisture s;mnIv
but really is solution of continuity from gener,
causes and is a part of the breakino dovrn p a.: