On mixed types of fever in relation to the question of the identity or non-identity of typus and typhoid poisons / by Henry Kennedy.

  • Kennedy, Henry.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On mixed types of fever in relation to the question of the identity or non-identity of typus and typhoid poisons / by Henry Kennedy. Source: Wellcome Collection.

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    tremor of the upper extremities—in fact, she presented all the signs of well-marked typhus, and died cn the twenty- first day of her illness. Except in the lower portion of the ileum nothing abnormal was found, and here the signs of disease were slight, but well marked. Peyer’s patches were much plainer than natural, and this became more apparent as the valve was approached, for here one of an inch in length and a third in breadth was prominent and brought out in strong relief, but it had not ulcerated. The impression given by the inspection was, that irrita¬ tion had recently been going on in the part, but had somewhat subsided. The specimen was exhibited before the Pathological Society. Case 18—Bellew, a servant, aged 45, of tall stature and thin, admitted in May, 1862, with all the signs of fever in a very severe form. He had to be supported into the hospital, and though only one week ill was already densely spotted; his tongue dry and brown ; eyes very much injected and expression heavy. There was also severe diarrhoea, which seemed to cease suddenly within forty- eight hours—that is, about the eighth day of the fever. From this out the attack was as genuine typhus as it is possible to describe. The spots became of the darkest, the mind very confused, with constant rambling and pass¬ ing under him. There was difficulty in putting out the tongue, and, late in the illness, hiccup. By the eighteenth day the symptoms had materially improved. The spots were gone, the tongue had expanded, and was put out better, and he took support well. It was evident, how¬ ever, the fever had not resolved itself. The pulse had not fallen in proportion, nor the tongue cleaned, and he still remained heavy and at times would ramble. In this state he went on till the twentv-fifth day, when he died. There was no effort at crisis at any time nor any tympany. I was only able to examine the abdomen. The ileum had no ulceration in it, but it was very red in patches, and the more so the nearer we got to the ccecum. In this last organ the chief lesion was found, for it was ulcerated in patches, one as large as a shilling. The ascending colon