The Portland daily press., 1898-07-28
Indicated By the condition of the kid.

Indicated by the condition Of the kid
neys.
Such is the malignant type that kills
in four or five days. When 1t is fever
of single access; or paroxysm, the albu-
men Invariably appears on the second or
thir,i day, also the vomiting. Necessarily
| the heaviest mortality is in this class.
! In cases ending fatally "black vomit,
sunresston of urine and other symptoms
obtain; coma in some, delirium in 9th
ers. In still others the mind is perfectly
| clear when death closes the scene.
! Complicated cases occur among those
who have had some form of malarial fe-
yer. The tongue generally is furred from
4! the back to the front. The vomited mat
ters at first ara clear, hence called white
vomit'' by DR.. Blair. 1t precedes the
"blark vomi5." The latter generally is
fatal symptom. Still some patients have
| had it and have recovered. AS the fever
increases in intensity the mucous men,
| brane of the tongue and mouth shows
strips where blood exudes and collects on
the teeth and lips 1t indicates the blood
| changes
! A very peculiar and characteristic odor
| is exhaled from the bodies of such pa
tients while alive. The peculiar color
developed in many of the cases during
some of it's stages. depending upon their
severity, is due to blood changes. The
color is very rich canary yellow. 1t
becomes very marked after death and
during convalescence; hence the name OF
! the disease.
| The issue of the case depends on main
| tanning the Vitality of the blood. In the
| majority OF severe cases no nouriShment
! is retained by the stomach. The whole
o-intestinal tract is in an abnormal
condition. There is no assimilation, no
| pahulun for blood, and q general failure
| to maintain the life currents. The blood
| in malignant cases. when examined mi
| croscopically, on the fourth day show q
| wholly disorganized fluid, deficient in
the DEMONSTRATING red corpuscles. They
are oxygen bearers, and it is their duty
to purify the blood. The blood loses its
| hbrine. The heart simply pumps fluid
| that has no tissue-repairing property.
| Congestionsand allied conditions obtain.
| Heart failure and acute fatty degenera-
| tion of the liver are products OF the dis
ease.
The cases that recover are of two kinds.
Some have the secondary fever' and the
| intensified symptoms. The fever lasts in
! the secondary phase from four to ten
days and ends abruptly when the patient
enters on his convalencence. In this class
| treatment does have SOME effect. AS the
| TEN perature falls in such cases the symp-
toms become milder. The kidneys com
mence to do their work and nature sets
about righting hsrself.
In the third and last form to be con-
sidered here the initial symptoms are
those already described, but greatly modi-
| fsd. Some writers call it fever of &C
climation, with headache, backache. tenn
per allure at 101 or IL degrees, sface flushed.
eyes congested, and c previous constipa-
| ton. This kind of yellow fever consists
of single fever, access or paroxysm.
1t has all the other symptoms The
urine gives albumen. Albumen must be
present in all the cases, or they are not
yellow fever of the tropics.
Yellow fever protects against subse-
quent attacks. The immunity is com
plete while they live in the tropics. Con
| valescence is very slow. Where praotl-
able when well enough patients should be
sent to a cooler climate. Many are as
weak as infants for days and weeks.
They have to be watched constantly. AT
times they are ravenous for food. An i'm
proper meal frequently means death In q
few hours. The rich canary yellow OF
scalp and skin often remains for weeks
In the tedious cases the emaciation is
great. AS the blood is restored the It's
sues are restored and the color disappears.