Two cases of post-typhoid anæmia : with remarks on the value of examinations of the blood in typhoid fever / by W.S. Thayer.

  • Thayer, William Sydney, 1864-1932.
Date:
[1894?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of post-typhoid anæmia : with remarks on the value of examinations of the blood in typhoid fever / by W.S. Thayer. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Case 1. C. C, single, aged 30, a native of Italy, was admitted to the Johns Hopkins Hospital on November 17, 1890. He was a fireman on a steamer and had been but seven days in Baltimore, whither he had come from Port Antonio, Cuba. He spoke but little English and the history was not as full as could be wished. The family history was good so far as could be made out, and the patient asserted that he had always been healthy and strong. The illness of which he then complained began quite sharply seven days before entrance, with headache, general pains and feverish sen- sations. There was no cough, no nose-bleed, no vomiting, no actual abdominal pain, though he complained of a heavy feeling in the abdomen and an aching pain in his back and legs. There was anorexia and at times nausea. Present condition. On entrance he was found to be an able-bodied man. The lips and mucous membranes were of good color. The face and upper part of the thorax were flushed; the conjunctivae injected. The tongue showed a thin brownish fur; edges clean and indented. The temperature on admission was 104.5°, and rose later in the afternoon to 106° ; pulse 96, dicrotic; respiration 30. The lungs were everywhere resonant; the heart sounds were clear and normal; possibly a very faint systolic murmur at the base ; cardiac impulse normal. The abdomen was not distended, and showed no eruption beyond a rose-red papule in the epigastrium and two rather deep-colored papules on the left side. There was slight tenderness in the right iliac fossa. Hepatic flatness extended from the sixth rib to the costal margin. Edge of the spleen palpable, soft, not sharp ; splenic flatness from the ninth to the lower border of the eleventh rib to the costal margin. The pillars of the fauces and pharynx were somewhat swollen and congested. The blood showed no malarial organisms. A liquid diet was ordered, 180 cc. of milk or broth every two hours, and tub-baths at 70° every three hours if the rectal temperature was above 102.5°. From the 18th to the 21st the temperature ranged between 98.2° and 105.4°. The fall of temperature after the baths was in many instances very marked, on one occasion amounting to nearly six degrees. November 22nd.—The temperature during the past 24 hours has risen as high as 105°; the patient has had four baths; is a little nervous, not delirious; pulse 130, not so dicrotic; no fresh typhoid eruption.