A treatise on relapsing or famine fever / by R.T. Lyons.

  • Lyons, R. T.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on relapsing or famine fever / by R.T. Lyons. Source: Wellcome Collection.

    40/408 (page 24)
    scanty and higli coloured ; the tongue covered witli a dirty white far; thirst; and a disagreeable bitter taste. Re- garding the eruption, he remarks, that in one class of cases it belonged to the class papula; in another to exanthema; in a third, vesicula; in a fourth, bulla; in a fifth, wheal. Notwithstanding the affection of the eyes, there was no intolerance of light, once the eruption was out. The fact of the frequency of relapses, noted by Twining, was entirely overlooked by Mr. Cavell. The account given by Mr. Mollis, the Marine Surgeon, agrees with Twining's; but he adds a few particulars. Bleedings from the nose were observed by him; also con- fusion of thought, and sometimes much delirium; in some cases abscess of the perineum; small exfoliations of the cuticle; the lungs and salivary glands were sometimes affected : the secretion from the former was very copious in many instances, and the latter swelled and salivation occurred, although no mercury was given ; in one instance, swelling of the scrotum and one testicle occurred. He describes the eruption as similar to the roseola or the lichen simplex of Willan. Twining states that a few sporadic cases occurred in other parts of the country, and an eruption of the same character occtirred amongst the troops at Rangoon. He saw a resemblance between the Calcutta epidemic and an epidemic of bilious fever which occurred in H.M.'s 89th regiment, at Madras, in April, 1824. The regiment pro- ceeded to Rangoon by sea: during the passage of sixteen days, foi'ty cases of biHous fever occurred, and every one recovered. The reffimeut landed at Rangoon on the 6th June, 1824, and was employed on active service. The disease continued amongst them in the form of bilious fever, and the greater part of the regiment suffered from it before the 16th August; at that time the fever began to assume the iatermittent form, and a few cases the remittent form. H.M.'s 13th regiment embarked from Calcutta and arrived at Rangoon early in May; the men were affected With an ephemera, in many respects resenibling the Calcutta epidemic. Mr. Hamilton, the surgeon, described it as purely inflammatoryj ushered in with more than usual