Epidemic of continued fever / by Patrick Manson.

  • Patrick Manson
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Epidemic of continued fever / by Patrick Manson. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    II. About the 4th of June Mrs. D. was attacked with fever and diarrhoja and prsecordial oppression. She was living in what I considered a malarious locality. Siie took quinine in moderate doses all through her illnesvs. About the 28th day the thermometer had fallen to normal, but this temporary improvement was quickly followed by a relapse, and it was not until the end of the seventh week that she could be pronounced convalescent. The rise and fall of temperature was thus recorded :— Day. 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 103 102 101 100 99 98 97 A \A f \A t « • / / «— — t A A A » 12. Her husband, Mr. D., began to suffer from headache, lassitude and fever about the 26th July, a week after his wife began to get well. He had no diarrhoea; headache, lassitude, anorexia and fever were his only symptoms. He was treated with ajierients and quinine. Towards the end of the second week he improved sliglitly, l>ut relapsed, and \i wms not until the beginning of the fifth week that he began to get well. The following is his temperature chart:— 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 It t « r 71 \l 7 \/ 1 f A In the case of the foreigners attacked, the fever has been followed in every instance by falling of the hair (I cannot speak to this point as regards the Chinese); but beyond this and slight debility, it has had no other sequeliB whatever. One curious circumstance I would note in connexion with this epidemic. Of the six foreigners attacked, four were missionaries. All the foreign residents together number only about 260, including children. Of these, 20 are missionaries, or their children. If all the cases had occurred in one house, the circumstance of its being a missionary's house might be fairly ascribed to accident and some purely local and limited influence; but the cases occurred in three different houses. Two of the houses, it is true, were in close proximity, but the other Avas quite
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