The Houston daily post. [volume] (Houston, Tex.) 1886-1903, 1897-12-29

largo number OF so-called anomalous
cases have been reported to me, but space
wiii not permit me TO mention them Ia
sietsil. so | have selected 4 few which
hope will prove OF interest.
Inc following were kindly furnished me,
octoper 2S N. j.. aged sS.--Was called
iate In the evening; found patient suffer
ing with anorcxia, pain all over body but
sspeciaily marked below knees; constipated
nut urinating freely; temperature los
severe frontal headache; no siubmin In
urine. Prescribed castor oil and be-
ing called out OF city did not see pl.lent
TIL three days later when he was found
10 be very low. pulse hardly perceptiblc,
not over iitty-four to the minute: reacting
bur no vomiting; urine heavily loaded with
albumen; total amount vomited In twenty
Tour hours three pints; patient muttering
10 himself, but on speaking loud 10 him
could be aroused aud would give intelligent
answer, although few minutes after con-
| Versation ceased he would drop back into
uhconsciousness; at 6 y. nj. vomiting OF =
coftee ground like substance set In not
| more than a tablespoonful every hour till
next morning. when OF a sudden. without
any euort whatever gust OF some kind
OF vomt was elected, amounting to at
least a pint and n half. Inside OF fifteen
minutes after this vouit patient expired.
ana after ten minutes his corpse was OF a
| decidedly yellow tinge, and on depressing
portions discolored like after severe bruis-
| ing.
| September 10 called to see /. r. L. Nc
ageu a2-Found what believed 70 De ins
| cipient denguc; reported improved bv the
zist; on tho I'D recalled IN haste; on ar
rival found patient comatosed. pulse So
| temperature 1853 degrees; CHI arousing he
'oiu me. and statement was confirmed by
mother. that all urine he has passed since
the day before In all 2s hours) was In a
| Vessel under the bed, BY ocular INSPECTION
was round to be very dark and muddy.
smell strongly ammoniacai alhumined AT
othce. albumin IN great quantity. nearly
sohdiiying in test tube was found Re-
turned AT once to patient; found him again
In comatose condition and having Welded
y smn'' quantity OF urine which had
strongly colored the linen. Prescribed
| uhctuje digitalts ergot, spirits Juniper
| ana iiquor ammonia, aoetous. Pccovery
uneventfully. but exceedingly slow; vel
| 10" ilse In eye appeared as late as 26tlN
! disappearing after forty eight hours
a careful perusnl of the above facts in
dicate that we have had an acute pyrexia
81 an average three lays duration. cccom
panied with PECULIAR facics, albumin In
| urine, Jaundice, divergent Pulse and fem
| perature, and In u few cases black yon,,f.
| ana IN consequence am forced 20 the be-
iief that yellow fever prevailed In a-mlld
| form In South Texas The past fall, ootpci-
! IDENTIFY with dengue fever II such was not
me case, text books must he rewritten,
tiihiVai symptoms are worthless. the on
| servaticns of such men as Sternberr lie
mits Guiieras. Jones and others count for
J haught. and we are fioundering in sea
OF ienorance and uncertaniy-
| you may contend that such SYMPTOMS
| occur in malaria, dengue. scarlet fever or
measles. but the facts remain uudisuutabIo
| - as urassailable as the r,ocks of Gibraltar
| that the combination OF symptoms in an
acute pyreHia are observed in yellow fe-
yer. and yellow fever alone.
| II yellow fever existed in Texas n glenn
Tie blunder has been committed by those
VINO tailed to recognize IT, The literature
| ON dengue VIII he further vitiated with
yellow fever and its sya,ptumatology viii
| pe COMPOUNDED with .he phyMoguomy OF
| other diseases. The reader will be In
| formed that dengue can possess all the
| symptoms OF yellow fever aud not be vel
| low ieVer, that two plus Two can be .our
| and not be four. and the seeker after truth
will be confused and 1azed by slowing In
consistencies and conclusions drawn from
false premises, f4
am strongly OF the belief that many
text book articles on leuRue contain de-
| seriptions OF true yellow fever, that yellow
Fever ON many occasions receives not its
proper name. but is tabled dengue or ma
laria,
In Wow Of the fact that many epdemics
Of dengue and yellow fever have occurred |
concurrently, we can understand how yell |
d ngue. Such condition OF affairs exist |
ed between the periods OF 1899 and 1894 ia !
Louisiana and Alabama, also between 1913 I
and 1900 in Charleston Mobile. New Or |
leans and parts Of Mississippi also during |
1866 in Texas and other parts OF the gulf |
coast,
If yellow fever has not existed In Texas |
the past fall a most disastrous lnstake has |
been made; quarantine restrictions, with /
all their inconvenience, have been need
lessly instituted, commercial interests
Iuthlessly ieopardzed and all CT South
Texas wrought 10 to an excitement border
ing upon a panic
No one is infallible my premises or ny
conclusions may be wrong ana u it, Is the
CONSENSUS of this body that we have had
dengue. and denguc alone. well IND good
and then we will begin anew. erase all
writings on the subject. destroy our text
books and turn a deaf ear 10 present au-
thorities; after which we will give dengue
fever mortality which IL never possessed.
pathology which II never possessed. and
symptomatology which u never possessed.
When this is accomplished. dengue viii
have peculiar facies. a divergent nulsc aud
temperature. albumin IN urine jaundice
ext essive hemorrhages and mortality. But
whatever you name the late epidemic.
most earnestly insSt that the people be
informed OF the necessity OF thoroughly
vcntllatng their houses and clothes and
drain the streets and 03ser.e every Ire
caution, so that there can he no possibility
OF an outbreak next summer; and this
street cleaning should begin Immediately.
and not be delayed Until the disease Is
upon us.
The importance OF the subject demands
careful consideration. We should decide
today upon rational method whereby the
two diseases can be separated and differ
entiated, so that there can be no repetition
of the deplorahle affair OF ast fall Such
vide and divergent Views upon a question
Of 50 much gravity will lower the plane
Of the profession and force the people 10
the belief that our boosted calling is q
guessing, haphazard vocation I
In concluding ! will state that we have .
had focus OF inspection 1T Ocean Strings |
a probability OF Infection in Texas, and
also an acute pyrexia with yellow fever
focus. albumsn in urine divergent pulse
and temperature. jaundice and death
In consideration OF Zach facts aLd In