An essay on yellow fever : comprising the history of that disease, as it appeared in the island of Antigua in the years 1835, 1839, & 1842, with an appendix continuing the history to 1853 / by Thomas Nicholson.

  • Nicholson, T. J.
Date:
1856
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Licence: Public Domain Mark

Credit: An essay on yellow fever : comprising the history of that disease, as it appeared in the island of Antigua in the years 1835, 1839, & 1842, with an appendix continuing the history to 1853 / by Thomas Nicholson. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    toras relieved. The bowels were freely opened with calomel, colocynth, and jalap. He took ten grains of nitr?, with a few drops of spirit, ceth. nhros, in a glass of water every two hours. On the 3rd, he was in a state of complete apyrexia. Two grains o.° sulphate of quinine were given every second hour, during the day, and on the 6th he was struck ofFniy list as perfectly cured. Case iv. Mrs. P. wife of the preceding, aged 20, a native of the island, but who had been some years in England for education, was attacked November 7th with all the symptoms of the prevailing epidemic, being five months advanced in pregnancy. She was blooded to the extent of twenty-four ounces, and treated in every respect like herhusband ; and on the 12th she was convalescent. Case v, Mr. W. B., Englishman, aged 25, about three months in the island, was attacked 7th November 1842, with the usual svmptoms of the ardent form of yellow fever then prevailing. He was bled to the extent of forty ounces ; was purged with calomel, colocynth, and jalap, and afterwards took effervescing draughts of tartrate of soda with nitre. On the 10th he was convalescent. He took quinine for three days, after which I took my leave. ii. The adynamjc form was usually met with in females and persons of a lax fibre and deficient animal vigour. It ■was ushered in by slight rigors, giddiness, and paiu in the back, frequent sighing, and sense of oppression at the prae- cordia. The reaction which followed was slight, unattend- ed with pungent heat of the skin, or strong arterial action ; the pulse was small and compressible. This stage did not last more than forty-eight hours, and was followed by the stage of collapse, great prostration of strength, cold clam- my sweats, feeble pulse, hiccup, vomiting of a dark gru- mous fluid, yellow colour of the conjunctiva, and a urid hue of the face. Haemorrhage from the nose, mouth, anus, and vagina, followed, under which the patient sunk in a fit of syncope or asthenia. In others the sensorium was early af- fected, there was a total suppression of all the secretions ; the patient lay tossing about in a state of wild delirium, totally disregarding exposure of her person. Haemorrhage took place from all the passages ; the sheets were stained with blood ; her