On the use of the graduated bath for the reduction of high temperature in fevers, with an analysis of, and remarks on, sixty cases of enteric fever treated in St. Thomas's Hospital in the autumn of 1877 and the winter of 1877 to 1878 / by William M. Ord.

  • Ord, William M. (William Miller), 1834-1902.
Date:
[©1879?]
Catalogue details

Licence: Public Domain Mark

Credit: On the use of the graduated bath for the reduction of high temperature in fevers, with an analysis of, and remarks on, sixty cases of enteric fever treated in St. Thomas's Hospital in the autumn of 1877 and the winter of 1877 to 1878 / by William M. Ord. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    probable that one or two of the cases admitted were actually relapses after mild primary attacks. As regarded the commencement of illness there was an unusual definiteness in the symptoms. Shiverings, attacks of headache, vomiting, diarrhoea, or bronchitis commonly mark- ing the access. There was, as might be expected, a consider- able variation in the probable duration of the illness before admission in different cases, and as such variations affected the extent to which certain symptoms, the eruption in particular, could be observed, I have drawn up the following table* Table III.—Table of duration of illness previous to admission. In 11 cases 5 days and under. „ 22 „ from 6 to 10 days. „ 18 „ „ 11 to 15 „ „ 0 „ „ 16 to 20 „ „ 4 „ „ 21 to 30 „ „ 2 „ over 30. In one case the patient was attacked while uader treatment in the hospital, 16 days after admission. The termination of fever, marked by the resumption of normal temperatures, and calculated from the probable date of access, varied to a remarkable degree. Table IV.—Table of duration of febrile state in cases of recovery, stated in weeks in thirty-eight cases. Kecovery in 1st week . . 0 Recovery in 6th week . . 16 2nd „ . 2 „ 7th „ . 2 „ 3rd „ . 4 8th „ . . 1 „ 4th „ . 10 9th „ . . 1 » 5th „ . 9 10th „ . . 3 Only 38 cases are here tabulated, several complicated cases, as well as the fatal cases, being omitted. Death occurred on the 15th, 25th, 29th, 83rd, 37th, and 114th day in cases where the date of commencement was known. In one other it occurred, probably on the 38th day. In the two remaining no trustworthy data could be obtained, the patients being delirious from the time of ad)nis8ion. 2