Medical diagnosis : with special reference to practical medicine : a guide to the knowledge and discrimination of diseases / by J. M. Da Costa.

Da Costa, J. M. (Jacob Mendes), 1833-1900.

Date:: 1890

Credit: Medical diagnosis : with special reference to practical medicine : a guide to the knowledge and discrimination of diseases / by J. M. Da Costa. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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$is then, except in those cases in Mhieh fresh importations of trichinae from the intestine in considerable numl)ers produce ex- acerbations, a continuous fever, with a pulse ranging from 100 to 130, with scanty urine and profuse perspirations having a very unpleasant odor and which may continue in certain parts of the body after the general sweating has entirely ceased. The tem- perature is about 101° Fahr., though it may pass to 104° and 105° ; yet it does not, as a rule, reach the high heat which is observable in other continuous fevers. But it is especially in the Fig. 77. Trichina spiralis. Magnified 300 times. {.\fter Virchow.) profuse perspirations, the absence of enlargement of the spleen and of an eruption, the swelling of the face, the muscular symp- toms, and in a very red color of the visible mucous membranes, that the points of difference lie between the febrile excitement of trichiniasis and typlioid fever,—a malady Avhich, on account of the continuous fever, the prostration, the diarrhoea, and the su- damina, it resembles. In light cases of trichiniasis there may be no fever, or there may be a fever more of intermittent or remit- tent character. The appearance of the face may be like that of$