A case of typhus or ship fever, with remarks / By Wm. Ingalls.

  • Ingalls, William, 1769-1851.
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: A case of typhus or ship fever, with remarks / By Wm. Ingalls. Source: Wellcome Collection.

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    Saturday.—The affection of the posterior nares continued ; erup¬ tion round the mouth diminished and black, and soon after disap¬ peared entirely ; respiration relieved ; a copious discharge of figured feces ; pulse about the same it had been for several days past; no pain in the back and limbs. [That pain in the back and limbs is not necessarily caused by a morbid state of the spinal cord, may be inferred from the fact, that, in myelitis, partial or even extensive inflammation of the spinal cord unattended with pain in these organs, may occur, that is, if tender¬ ness in the region of the spine be an indication of such an affection of that organ. The most extensive affection of the spinal cord that has come under my notice, is the following case. A very elderly lady lost, in a very great measure, the entire use of her limbs. When in bed, she could not lie on either side, nor move either of her extremities, but when she was placed on her feet, she could walk. From the inability to make the slightest change of posture, she suffered great distress, but not the slightest pain ; and, therefore, it may be concluded, that pain is not caused by a disordered condition of the nervous system. The patient soon recovered, from the remedies employed in the treatment of myelitis.] Sunday.—Passed a pretty good night; affection of the posterior nares the same ; tongue much coated, skin moist, with a black line extending from the root to the apex, which is red and turned up ; pulse 110 ; breath very offensive. Monday.—Offensiveness of breath not perceived ; affection of the posterior nares less troublesome ; black line in the tongue not visi¬ ble ; the appearance of a bran-like eruption about the neck and bosom, was first noticed. Tuesday.—-Sleeplessness, restlessness, and delirium at night; the bran-like eruption more conspicuous, extending over the cutaneous surface, from the neck to the feet; alvine discharge, mixed with urine of a dark brown color ; feces yellow, thin, with an intermix¬ ture of a few solid yellowish particles. Wednesday.—Rags burnt, smoke of which produced great an¬ guish : delirium great; rush of blood to the head ; respiration 32 ; pulse 124. Afternoon—delirium less ; u head feels empty ; ” respi¬ ration 40 ; pulse the same. Thursday.—Delirium through the night; a slight amelioration of the pulse; tongue dry, coat thick, black and adhered closely to its