The later history of spirillum fever at Bombay, 1882-83 : memoir based upon cases read before the Medical and Physical Society / by H.V. Carter.

  • Carter, H. V. (Henry Vandyke), 1831-1897.
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: The later history of spirillum fever at Bombay, 1882-83 : memoir based upon cases read before the Medical and Physical Society / by H.V. Carter. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    temperature96°, pulse 68; relief to aU the urgent symptoms ensued; and at the close of fourteen days, convalescence seemed established. No relapse took place ; the blood furnished negative signs during this apyretic period, and the daily amount of m-ea excreted sank from 507 grs. (weight of body 87-^ lbs.) at crisis, to 198 grs. (weight 89 lbs.): upon enqiiii-y, it was leamt that the febrile attack seen on admission had not been the first one. No. 3.—M., set. 28, admitted with high fever of six days' duration; evening temperature 105-8°, pulse 132 ; next morning temperature 97 2°, pulse 76, there was copious sweating, with restlessness and pain in the hepatic region. Rallying was prompt, and in the coui-se of thirteen days convalescence proceeded without interruption. Tlie blood of Nos. 2 and 3 did not, in the fresli state, show the spirillum; but on drying and staining, the presence of this organism was clearly demonstrated. No. 4.—M., set. 35, admitted at the close of six days' fever, in a state of deep collapse ; the tiimk supine, the Hmbs, however, flexed as in rigor mortis -. temperature 96'5°, pulse 92, and distinctly perceptible, respira- tion 21 per minute, shallow; pupils said to be contracted. Rallying was not delayed, and it was unintemipted during the next fortnight. This patient had no fever in hospital, being admitted just after the critical defervescence of a preceding attack ; the blood therefore furnished negative evidence only. No. 5.—M., set. 25, had been seen at hospital in attendance on No. 1 three days before himself being admitted, and was then in good health. Fever had set in the day previously to his admission : now the tempera- ture 1038, pulse 132, respiration 40; distress and di-owsiness. As a expeiiment resorcine was freely and fi-equently administered; it afforded no reUef in the course of twenty-fom- hours, and other treatment was then adopted. This attack of fever proved fatal in less than forty-eight hours after the patient's entry iato the ward; the temperature at the axilla was continously high, risiag to 106-4° (pulse 140—150 per minute and respiration 30—40): there was distress, restlessness, coldness of the limbs, and vomiting, some cough, and sweats without reUef; finally spasmodic twitching and exhaustion; the mine contained a trace of albumin. Slight indications of the spii-illum in the fresh blood were noted, and several organisms were foimd in the same specimen after tlrying, and staining ; hence the nature of the case was undoubted. Autopsy not available. No. 6.—M., a;t. 28, later admitted in another ward with high fever; tem- perature 103-4°, pulse 145, which two days subsequently rapidly declined (temperature 97°2, pulse 120): two days after crisis upon rallying some- what, there occurred a first and then a second febrile paroxysm, tiio