Evening star., 1898-11-21

Miller there was no sqeb evidence, and
this, taken in connection with his clinical
history while in this city. excluded that.
In most of the fevers except yellow the
spleen a ana is enlarged ala spleen was nor
one Of the post-mortem features of the dis
ease. In fact, the authorities refer specifi-
cally to the liver. stomach and kidneys as
the organs which show the greatest
changes in yellow feve5. Now. what did
the post-mortem in Mi11er's case disclose?
Why, that the involvement of the organs
was identical with the descriptions in the
text books. The liver sRaas slightly en-
larged. light yellow in color, resembling
light oak wood. smooth and free from
blood. No other poison but phosphorus could
bring about this CHANGE The yellow color
was caused by the fattyt, degeneration of
the organ.
Evidence in stomach.
but the stomach gave, US the greatest and
best evidence. 1t was full of a dark bloody
fluid, the black vomit. The mucous men,
brene of the stomach was swollen, soft
and congested. The kidneys were slightly
enlarged with small extravasations of blood
within the capsule, while around them was
a quantity of yelowish fat. One authority
on yellow fever lays stress upon the pres
erce of yellow ffbrin on the pleura the
covering of the lungs). The case of Miller
was typical in this respect, which, as have
said, is regarded as positive evidence of the
disease. The lungs were involved and were
in a state of hypostatic congestion. So
that I say the in Its entirety was a
plain picture of yellow fever.
I'VE have other evidence corroborative of
the foregoing. That Miller was i'll on the
steamer cannot be doubted. The letter from
his friend proves that. Every one agrees
that yellow fever is divided into three
stages First we have the feeling of Ian
guor with no appetite. headache and a
chilly feeling. This Is usually followed by
a rigor and the temperature Of the patient
sails up. Then there comes a remission of
the fever and the patient may feel per-
fectly well and even go about.
Expresses an Opinion.
my opinion is that Miller contracted yell
low fever either in Porto Rico or on the
steamer that he was taken i'll with the pro-
dromas symptoms of the disease while on
board the boat, but when he arrived at quar-
antine the stage of remission was on and he
was able to be about. The third stage, that of
relapse, came when he arrived in this city.
No. sir, there can be no doubt in my mind
that Miller died of yellow fever. But 1 de-
sire to add and wish you would be sure
and say it in The Star, that there Is not
the slightest danger of an outbreak of the
disease in this city. The disease cannot be
communicated"
The physicians of the marine hospital, as
well as the experts Of the Army Medical
Museum, have taken cultures from the body
and sections Of which meteorological and
pathological examinations will be made.
Not quite two years ago Sanarelli, an 1tal-
ian physician, startled the scientific world
by publishing a paper in which he claimed
to have discovered the specific germ of
yellow fever. The profession. however, 1t
is understood, has not been fully convinced
OF the discovery. since 1t has not been
found in every case of yellow fever. The
learned Italian claims 1t is present in every
case, but the means of finding it in every
case have not been fully understood.