On the treatment of hyperpyrexia : as illustrated in acute articular rheumatism by means of the external application of cold / by Wilson Fox.

  • Fox, Wilson, 1831-1887.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of hyperpyrexia : as illustrated in acute articular rheumatism by means of the external application of cold / by Wilson Fox. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    14/94 (page 6)
    placed ^against the back. Within twenty minutes the tem- perature now rose to 98*2° (vagina). The pulse became per- ceptible (130); the respirations were 42. Ey 1.15 A.M. on June 11th, or within an hour and twenty minutes, the temperature had risen to 99*4° ; the pulse was 118, the respirations 32 ; she had been partly conscious, and now dozed quietly, though some strabismus was noticed about this time. From 1.15 a.m. to 3.30 a.m. the temperatm-e again slowly rose to 101 *8°; consciousness was apparently restored;* the patient took brandy freely, and spoke ; the pulse was 112, the respirations 40. From 3.30 a.m. to 7.35 a.m. a gradual rise of temperature continued, reaching at 7.35 a.m. 104-5°. At 7.40 A.M. she was again put into a bath (temperatm-e 64°). Five minutes after her immersion the temperature in the vagina was 105°; it then began to fall, and in twenty minutes had fallen in the vagina to 103’9°. She was immediately re- moved from the bath (temperature of bath at patient’s removal 66°) ; but the fall continued for forty minutes longer, reaching 99*4° at 8.40 a.m. ; or within an hour of this second application of cold there had been a reduction of temperature of 5*6° Fahr. At 8.30 A.M., while the temperature was 100-8°, there was a strong rigor, which was several times repeated. Hot bottles were again applied, but in spite of these the fall of temperature lasted for ten minutes longer—i.e., until 8.40 a.m.—and amounted to 1-4° within this short time, reaching 99-4°. Deaf- ness from the quinine taken the afternoon before became very distinct about this time, and lasted for forty-eight hours. During the night the patient had, by mouth or enema, about twenty ounces of brandy. The temperature now rose gradually to 100°, but did not rise above 102° for thirty-six hours. Dm-ing this period the pulse and respiration ratio averaged 96 to 30. She perspired freely, was quite conscious, passed a natural motion and urine of 1014 specific gravity, and had some quiet sleep. Brandy was given, according to the strength of the pulse, in doses varying from two drachms to half an ounce every hour. > Subsequently it was found that the patient remembered nothing of the treatment after the first dose of quinine. Some days later she asked if she had not been very ill.