Fort Worth daily gazette. (Fort Worth, Tex.) 1882-1891, 1884-07-28
Resolutions Adopted by the Board Con-
corning the Reported Suspicious
Case Of Fever.
Sew onenns rImes.pemocrai.

who died .juiy "a, nj No. 81 Third street In the
Fourth district of this city, the board OF
heath officially promulgates this state
The symotoms during the last thirty-six
hours OF he times. OF the child, according 10
| the observations oi the attending pny stefan
and The consulting phy sician, were those of
| "A sporadic case of yellow fovcr. nut Tue patn-
| oiogicai evidences furnished by careful eN-
animation of the viscs IA made by q conpe-
| tent comm i-sion appointed by this board 40
| not sustain that concl usion. The board or
ae ea,n as me e"st,ye nature Of this ease
and mnst publish ~ aa suspicious Oh yeiioW
| fever. ,,,
Tbe board, together with the Auxiliary
| 3nuItary association and city authorities,
are tex ing every precaution In the thorough
| sanitation of the neghboIhood and OF the en-
tire District
Mr.. Kohn, referring to the resolu-
| ton, said this conclusion had been
reached by the boards commission
after n careful examination of all the
facts. The commission was composed
of the corener DIR. j. +. Finney, DR..
Lucien Il. Solomon, DIR, JohniGodfrey,
of the United States marine hospital
service, DR.. II. y. Schmidt, the emf
nent pathologist of TIE Charity hos
pital, and DIR. Jos. Holt, president of
the board.
DIR. Holt, In reference to the post
norton, stated that DIR. III. ID. Schmidt
had said that II lacked the main patho-
logical evidences of yellow fever, the
spleen, the kidneys, the heart and
| every pathological section examined
falling To show such evidences. Never
lheless, DIR. Holt stated that the dag
nosis of the two attending physicians
aud their history of the case showed
the symptoms whi1h the sanitary con-
ference of June had agreed upon as
constituting IA case to be reported a u
"suspcious case lie thought i'll
should be so reported.
Mr.. Smullwood thought the conclu-
sion of the boards commission su ILL.,
Client and conclusive.
DIR. Solomon SAID that he agreed
perfectly with all that Col. Smallwood
had said, and thought that all parties
interested should Immediately be In
formed of the fact that suspicious
case of fever had occurred. lnasmuch
IA the certificate of death was to the
effect that the case was one of yellow
fever, and as two reputable physicians
were of the opinion that 1t was such,
he did not propose to doubt but that
the physicians from the facts before
them were perhaps warranted in maxi
ing such diagnosis. At the same time
he was not prepared to admit from the
evidence that II was case OF yellow
fever. The history as obtained, in his
opinion, was not such ~ To prove the
case To be yellow fever. In the first
place the disease was not ushcred in
suddenly as yellow fever usually Is,
nor was it IA fever of one paroxysm.
The child had three distinct intermit-
tent paroXysms before the fever be-
came continuous. After death the
jaundice, which had manifested itself
did not persist, rs II characteristic in
the cadaver after yellow fever in fact,
when the post-mortem examir alton
was made, about fourteen hours after
death, there was no iaundice. The
skin was perfectly white, as also the
coplunctiVm He did not think that
the fact that this case occurred in the
locality where cases occurred In 1879
should have any bearing upon the
diagnosis. The schedule, as agreed
upon by the recent sanitary confer.
ence, distinctly lays down ~ one OF
the most prominent factors In ease.
that IL shall be fever of one paroNysm
ushered In with IA sudden attack;
neither of which occurred In this case.
Microscopic examination of the vom-
tied matter showed the absence OF
hCmoglobin aud blood corpuscles,
which are characteristic of the black
vomit of yellow fever. because the
black vomit of yellow fever Is due to
hemorrhage into the stomach. In the
case under consideration there was
found nothing but mucus, epithelia
scales aud pigment granules. Careful
examination failed To reveal even q
single blood corpuscle. The stomach
showed unmistakable signs OF inilam.
nation (gastritis); the liver, Will,
showing In one portion signs of either
fatty degeneration or fatty utilization
WAS distinctly in "A state of iuilamma.
ton. The kidneys and spleen, Will,
somewhat congested, were not sufll
GENTLY SO to present any marked char.
aeteristics. Taking everything into
consideration aud after carefully aud
In an unprecedented manner giving due
thought to the case. he Is forced To eX.
press the opinion that the case was
not one of yellow fever. But In con.
formity with the report he thought
II that the case should be considered o
Il suspicious case,
. DIR. GODFREY
said DR.. Solomon had covered the
y ground which he would have gone
y over. Notwithstanding the appear.
Is ances of the cadaver, which had led Il
y the belief that the case was not one o
yellow fever, II had been agreed by the
" commission to leave the matter To q
y pathologist, whose unparalleled skill
" WAS acknowledged on two continents
Dr. III. ID. Schmidt of the Charity hos
3, pital. After examination DIR. Schmidt
had said. II cannot cay this Is cast
of yellow fevern DIR. Godfrey thought
- there was very great deal of doubt
Il and he regretted the exagperation o.
this matter which must he the couse
quence OF Its publicity. II WAS much
more likely not to be n case OF yellow
fever than the contrary. He thought
X II should be declared de facto not a case
n OF yellow fever. He should report la
accordance with his views TO his supe-
rlors ut Washington.
Mr.. kohn thought such action should
), be taken as to relieve New Orleans
II from suffering the disadvantages ol
Q yellow fever for what was very, very
d doubtful case.
) pr. Salomon offered the resolution
following;
Resolved. that The hoard telegraph to the
sufseon.generai United states marine hos.
pln service. president pf the national hoard
D ot heath aul star authorities OF Alabama.
T Mississippi, tloripn, Texas, Arkansas, Ten,
lieSsee aud tltuois III ~ u sus ,icious ease al
io.er mas occurred "a New orleans, reported
) as yellow fever by the attending physician,
posi-, m0rsem examipation aud mierosq.,oi !,
eNaminsuon by Or. u, ID Sohuidt, patholo.
ght or The charity hospital.
Unanimously adontsd