A TEMPERATURE OF 112-8? F. FOLLOWED BY RECOVERY.
A
of fever is reported by Dr. Carl in the Centralbl. f. klin. Med., of August 17tii, in which, although the temperature reached the astounding height of nearly 113? F., an ultimate recovery of the patient took place. We subjoin a brief history of the case
Lokentzbn,
case :
The patient was a woman, aged twenty. As a child she had been " nervous," but there were no symptoms of hysteria. One night, after retiring, she suddenly coughed up half a tumblerful of blood. Inspiration became impossible; her face grew rapidly cyanotic. She threw herself back, and in a few moments the attack ended, and free inspiration was possible. Shortly after this she had similar attacks, which continued all night in spite of injections of morphine and ether, and cold douches, etc. During the long attacks she lost consciousness, and cyanosis was extreme. She complained .of pain in the chest during deep inspirations and this symptom always preceded an attack. Although carefully examined, no pathological conditions of the organs of respiration and digestion were found. The next day the attacks set in again, but were not so frequent. The urine, although frequently examined, was always found normal. For the next two months she had slight haemoptysis at intervals, and frequently was troubled by retention of the urine, which necessitated catheterization. Menstruation was normal. On the first of January, hsemoptysis becoming more frequent, she kept her bed. During the early part of the month her temperature varied from 103? to 105? F.; patient was very weak, had chills, but did not perspire; loss of appetite, nausea, vomiting, constipation, and retention were among the symptoms complained of. During the night of the ninth the temperature rose to 112'8? F. in the rectum and l^'o0 in the axilla. The patient was slightly delirious, but could be roused. Pulse 144 and full. Respirations 24 and regular. Difficulty iu breathing began, but the attack was warded off by the inhalation of a few drops of chloroform. From then to the twelfth of the month the temperature remained very high, ranging from 104? to 107? F. After that, recovery was steady, and in a few mouths was complete. She ii now enjoying excellent
health.
Diagnosis was, of course, most difficult, and Lorentzeu can only explain the erratic symptoms and temperature by putting them down to a hysterical origin.?Medical Neios, September 21, 1889.
A
of fever is reported by Dr. Carl in the Centralbl. f. klin. Med., of August 17tii, in which, although the temperature reached the astounding height of nearly 113? F., an ultimate recovery of the patient took place. We subjoin a brief history of the case
Lokentzbn,
case :
The patient was a woman, aged twenty. As a child she had been " nervous," but there were no symptoms of hysteria. One night, after retiring, she suddenly coughed up half a tumblerful of blood. Inspiration became impossible; her face grew rapidly cyanotic. She threw herself back, and in a few moments the attack ended, and free inspiration was possible. Shortly after this she had similar attacks, which continued all night in spite of injections of morphine and ether, and cold douches, etc. During the long attacks she lost consciousness, and cyanosis was extreme. She complained .of pain in the chest during deep inspirations and this symptom always preceded an attack. Although carefully examined, no pathological conditions of the organs of respiration and digestion were found. The next day the attacks set in again, but were not so frequent. The urine, although frequently examined, was always found normal. For the next two months she had slight haemoptysis at intervals, and frequently was troubled by retention of the urine, which necessitated catheterization. Menstruation was normal. On the first of January, hsemoptysis becoming more frequent, she kept her bed. During the early part of the month her temperature varied from 103? to 105? F.; patient was very weak, had chills, but did not perspire; loss of appetite, nausea, vomiting, constipation, and retention were among the symptoms complained of. During the night of the ninth the temperature rose to 112'8? F. in the rectum and l^'o0 in the axilla. The patient was slightly delirious, but could be roused. Pulse 144 and full. Respirations 24 and regular. Difficulty iu breathing began, but the attack was warded off by the inhalation of a few drops of chloroform. From then to the twelfth of the month the temperature remained very high, ranging from 104? to 107? F. After that, recovery was steady, and in a few mouths was complete. She ii now enjoying excellent
health.
Diagnosis was, of course, most difficult, and Lorentzeu can only explain the erratic symptoms and temperature by putting them down to a hysterical origin.?Medical Neios, September 21, 1889.
