Clinical reports on continued fever based on analyses of one hundred and sixty-four cases : with remarks on the management of continued fever; the identity of typhus and typhoid fever; relapsing fever; diagnosis, etc. : to which is added a memoir on the transportation and diffusion by contagion of typhoid fever, as exemplified in the occurrence of the disease at North Boston, Erie County, N.Y. / by Austin Flint.

  • Flint, Austin, 1812-1886.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Clinical reports on continued fever based on analyses of one hundred and sixty-four cases : with remarks on the management of continued fever; the identity of typhus and typhoid fever; relapsing fever; diagnosis, etc. : to which is added a memoir on the transportation and diffusion by contagion of typhoid fever, as exemplified in the occurrence of the disease at North Boston, Erie County, N.Y. / by Austin Flint. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    one was 21, and in the other, 34, giving a mean of 27|-. In the only falal case of typhus the age was 25. In so far as our cases afford results, then, they sustain the deduction of Louis, that the disease is less likely to prove fatal in proportion to the youth of patients. Sex.—In the cases of Fever analyzed by Louis, and Jackson, by far the greater number were of the male sex. Some instances, however, are mentioned by Dr. Bartlett, in his work on Fever, of collections of a large number of cases in which the number of females preponderated. In the cases which I have preserved, the number of males very much exceeds that of females. Of the fovrleen private patients, all but two were males. Of the hos- pital patients, the number of males affected distinctly with typhoid fever, was 17; of females, 1. The number of males affected with typhus fever was 10; of females 2. Of the cases in which the diagnosis was indeter- minate, five were males and three females. The disparity in the hospital cases might perhaps be accounted for by the fact that a larger number of males resort to such institutions than females. This explanation, however, will not apply to cases in private practice: and, hence, in so far as from the small number of this group of cases, any inductions are admissible, the inft'rence is, that females are much less likely to be attacked with continued fever than males. In the cases analyzed by Di. Jackson, of Boston, the average age of females affected with fever was found to be somewhat higher than that of males. The number of female patients in my collection is too small for comparison on this point. Occupation.—With reference to the occupations of the patients, no re- lations of the disease to any particular kinds of employment are devel- oped. Of the patients treated in hospital, three were mariners, six were mechanics of different trades, ffteen were laborers, one was a waiter, one a clerk, one a porter, one a foreman in a steam mill, one a domestic, (female), one a chamber-maid, one a steamboat cook, and two were Sisters of Charity. Of the cases in private practice, four were soldiers recently enlisted, two were students, one a physician, one a maker of patterns for castings, one a laborer, one a housewife, one a female without occupation, ' one a male without any particular employment. Analysis of much larger collections of cases have failed to show the ex- istence of any tendency in particular vocations to favor the development of the disease. That the hospital patients were all in what are generally