The Houston daily post. [volume] (Houston, Tex.) 1886-1903, 1897-12-29
Annual Meeting of the South Texas Maa;..,
Association at Beaumont. ~''
:sHINd sTRAws OF LAsTFAlI,s Ip,np ! y
ding DISCUSSION q Dengue and Yellow FeverDrs Morr
West Say It Was Yellow FeverThi ".o' - ;
Contested by Scott, Red, Rutherford and McErov

, ,.r iacles so frequently widen ~ I,
e.a.ule on yellow fever was observal
, we anomalous cases" The facies re
berora enose OF measles short Will,
seston and venous stass was marksi ~,
.ne injected eyes and yellow conjunction,
were equally as Noticeable ''''n'
INST ana nperature-Since Dr II,
eet called the attention of the mode
lioiession 20 the lack of correlation he.
Meen the pulse and temperature in yelloy.
sv',,, mas become quite significant
perature Is observed in dengue h,,, -,
rarely and then during convalescen,p n,
uurihg The deferescence OF The fever wb,Is
III yeliow fever the temperature is risine
ana the pulse following as early a. the
hrst and second day "N
During the late epidemic unouest1on ed
nomsue Win divergent pulse and tenn
pe,ature was observed, but Tho fever Mad
subsidized and the secondary rubeoIoid er,,n
tioh was present. but in the cases the l.cl,
Vi correlation was noticed early and No
| eruption was present.
'auhulce-Jaundice is ore OF the fe.
quent symptoms of yellow fever from
Wnlch the name is derived, although alone
- van NOT be considered as very signif-
cant, but in connection with the other
! .suptohs 1t is of great diagnustic i'm
por,ance; In Parkham's modification NJ
noiilday's table 1t is asserted that lam
uice never appears in lengue. the Same
statement Is made IN in article ~ Natas
IN heating's Encyclopedia of Diseases ~
Stn. According to Sternberg jaun-
| uice Is extremely rare in dcneuo Fosters
Views are the same. Now. lnring this
iale epidemic, jaundice was frequently OH
| sselNeu' one OF my learned confreres in a
| ..alihy OF four who were sick. noticed
jIaunclce In all, and another. during tho
iatter part OF October. declared that 20
psr cent OF the casts he visited possessed
1hS lcteroid symptom.
Urine-When scanty and supnressoa n,
punlnous urine is mentioned as n diae-
I,ostic symptom of yellow fever; many an.
TEMPT 10 bellttle its significance nv tho 90
sertion that dengue and all erupliys DIS
eases frequently have alhumen in the urine
uut observation and experience has dem
T., eu that aionmen occurs very rarely
~ tne urine Oh dengue patients, and that
.he is no acute pSreXia which presents
. ms symptom so carly as the second and
'nHu DAY, except yellow fever.
III III farhams article on The Svnn
aoina.oiosy and Diagnosis of Yellow Fever
we INA the following; In the disease now
mnuel observation in New Orleans alb .
men mas been so constant svmnton In
mia as well as severe cases, thai we haYa
learned to regard 1t as almost necessarv
Ior the diagnosis, and almost patboyno
nionic when occurring, no matter how miJd
the case" NJ" iui'o
roster says that in dengue the urine ia
I,ee from aloumen and never suppressed
80 na,as article IN kratiuS's we find
.ne following: The condition of tho urne
III tropical pyrexiae is always a matter of
Sreat Importance, both from a diagnostIc
anu prognostic standpoint Morgan. dur
ing a dengue epidemic. noticed specific
srayi,y Of 1904 to 1910, acid. non-albu-
i nilhous; Chlpperfield, acid, specific gray
Ky averaged 1910. non elbuminous, Good
eve detected an occasional trace Of 49, ~
bumen in four cases in the Indian emf
oemic of 1858. while Charles ard Mortialis
never detected II in the epidemic of 1870
etc Enough has been said 10 prove maj
u. Is an exceptional occurrence
in uehsue' whieE diherentiatcs It marked
y iu thls respect from yellow fever"
During the late epidemic albumen was
observed frequently in the urine; one pbv-
stefan curing the latter part OF October as.
serted that SOl Of his cases had albuminou,
urine In the cases which discovered AL
nnmen other suspicious symptoms were
odor--The odor arising from yellow fsver
patients has been compared nv so,nn -
the %ashings Of a gun. By others to the |
small of fish market During Octoher |
.his odor was detected. The physician 'u,hn |
nist called E,y attention 10 it said that an |
Two occasions he was so impressed by tho |
to fish that he inquired If fish |
had been cleaned recently.
Lay people also noticed the sim,Isr;.,, .,
the odor to that Of previous epidemics ~
yellow fever. but their testimony must he
taken with grain OF salt and n is ca
given. ~ 10 81
Eruption.--The great majority OF cases
presented an erythematous or rubioIoid
erup'ion' the first during the initial fever.
fhn h nl 4.
with or without fever. Mahle. Charles aud
other competent Observers noticed the
same character of eruption ana at the
same periods OF the disease. ana there WINS
no doubt about the cases being rue
iehgue. But all the fever did not present
such an easily recognized physiognomy:
there were many with no erupfion and
there were many with psculiar cjrcun.
;sribed erythema on elbows. forearms. legs
Jr ecrotum.
Sternherg. In his valuable treatise on
Yellow fever in Reference Handbook az
Medical Sciences, writes as follows: Va
';ous skin eruptions have been described.
,ut there is nothing characteristic about
my one of them unless IL Is the erythe-
natous eruption about the scrotum. which
3crenger- Feraud belie2es 10 be pathog-
economic OF the disease. Gu.teras believes
hat the minute heniorchagrs under the
kin in yellow fever. resembling flea bites.
are frequently considered dengue mani |
Z station, and in consequence the disease
S diagnosed enormously as deDeue.
Hemorrhages have occurred from nose. {
yurs, stomach, bowels. womb. kidneys ard ;
bladder. and In some cases so alarming as {
o cause greet solicitudo. To my knowl- /
dye there were three cases Of black yomt {
n some cases the noses were plugged and
he vagina tonponaded for the purpSsn I
Z checking the hemorrhage. A bloody Z
omit now and then war noticed With I'M I
nistafabir dcngue, but 1t was due 10 pro- I
acted retching and not 70 .'isorganiza- /
'cn Of the bloo1 and Stood vessels a
TIE following table will assist ia ,om- r
airing Tire two diseases. and perhars aid a
n Classifying and fiffercntiari,g. The {
wo columns on the right. healed yellow q
ever and dengue. ara the same az Par
ANS modification of Holidays table The 6
oiumn headed Anomalous or X casfs." d
ontains the special features OF the i:ombt- I
vi fevers. In juxtapnsiiion 10 characteristic v
'atures CT the two diseases. The two crl-
mrs on the right are accurate in their | a
tatsments and embrace the crys,aizci c
Of such a,Ifhnrifias Mats I 1