Februaey 1, 1872.]
TYPHOID
EE^EE
IN JOUNPOEE JAIL.?BY J. CLEGHOEK
July the motions had diminished in number, but of the same character as at first. Gurgling had increased, and the abdomen was becoming tumid; pain was complained of in the right iliac fossa. He passed one motion and urino On 8th
TYPHOID FEVER IN JOUNPORE JAIL. 33v James
Cleghorn, M.D.,
Civil
were
Sugeon, Jounpore.
I have been induced to publish the three following cases of typhoid fever, from having read an article, which appeared in the 7th and 14th January numbers of the Lancet, entitled " On
Typhoid or Enteric Holleston:?
involuntarily in bed. Still wanders during the night. Linseed 12th July.?Pain in right iliac fossa more severe. meal poultices were constantly applied. His motions are consistent, but clay-coloured. 14th.?Motions have regained their colour, but they have again become thin. He passes large quantities of urine. Pain has completely disappeared from the iliac region; and he is no longer delirious at night. Fur on the tongue is becoming yellowish. \1tli.?Abdomen swollen; he was delirious during the night. 19th.?Bed-sore forming over sacrum. 20th.?A crop of sudamina was observed this morning on inner surface of both thighs and lower half of abdomen. 23rd.?Tongue clean, dry and glistening. Appetite not easily satisfied. Motions are quite healthy. His food up to the 12th consisted entirely of milk, after which he had soup, sago, rice, ghee, &c. Mineral acid and quinine were given from the first, and the diarrhoea was checked by
Gaols, &c.," by Professor
Fever in Indian
Case No. I.?Rutton Kahar, aged 25 years,
was admitted into the 21st June last. He attended the court on the and 28th June, remaining there from 10 o'clock a.m. to 6 p.m. each day. On 1st July, when still in Hawalat, he complained of diarrhoea, and was seen by the native doctor, who gave him some astringent pills. When making the usual visit to Hawalat on 2nd July, I found him suffering from fever>
Hawalat on 22nd, 23rd,
and
noticing
his vacant and careworn
I at once
expression,
ordered him to hospital. His pulse was quick, and tongue covered with a white fur, except the tip, which was red. He said he had been feeling
unwell and " sust" for the diarrhoea. There
days previous to the appearance of gurgling in the right iliac fossa, and to a less extent in descending colon he passed live to six pea-soupy motions in the twenty-four hours: the abdomen was not distended, and he did not complain of pain, when deep pressure was made in the right iliac region. During the night of the 4th July, he became delirious, wandering about the hospital, and talking nonsense. some was
29
marked
occasional doses of lime water with his milk. The following is a record of the morning and evening temperature, taken in the axilla, by one' of Casella's instruments. It is almost a facsimile of Wunderlich's typical typhoid fever temperature charts, and completely verifies the diagnosis. in
Temperature
No. 1.
case
10
11
12
13
July.
a : H
a
w
a'
-w
a
H
a
W
a
h
a"
?
a
k
a
w
a
p4
a
r
a
w
a
1
?
104 103 102 101 100 89
104-1
101-3
104-5
102-6
102-8
102*8
102-8
102-3
102-7
105-3
104-1
104-7
104-7
103-5
104-5
1047
104-1
105-7
1037
19
20
21
23
24
25
26
27
M.
E.
105-3
16
105
|
18
17
July. a
?
a
w
a
p4
a
f4
a
a'
w
h
a
h
a
i
w
a'
w
a
f4
105
103 102
97
M.
101*8
102-6
102*3
E.
103*2
103*4
102*8
101*4
100*4
100*5
102*3
102*5
100*3
99-7
98*7
97*5
101
98*7
97'8
97-5
101-4
100-5
98-8
THE INDIAN MEDICAL GAZETTE.
gO
1872.
[Eebeuaiiy 1,
several days before being placed on the sick list; and soon after II.?Bisseshur, Brahmin, aged 18 years, was employed the accession of the fever, his exhaustion became great. There hospital servant, and attended on Case No. I during the was slight first few days of his illness. He was attacked on 28th July gurgling, but no pain in the right iliac fossa, and he remained free from diarrhoea. It is unfortunate that I did not with fever, which I at first thought was ague, but as the fever note his temperature -when he first complained of feeling ill. continued for several days without intermission, and as his face The case was a mild one, and the temperature shows that the assumed a haggard and careworn expression, I believe the fever observations were begun during the second week of the fever. to have been typhoid. He had complained of pain in his bones, especially his legs, Temperature in case No. 2. Case No.
as
an
10
M.
E.
M.
E.
M.
E.
M.
M.
E.
E.
M.
E.
E.
M.
13
12
11
E.
M.
E.
14
E.
M.
M.
15
E.
M.
16
E.
M.
101
102
100
M.
101-6
101-3
99-8
99.8
99'4
99
100.4
1027
102-4
103.2
102'6
100*6
103-2
(To
99
1017
be
101-2
continued.)
98
101-3
102
101-3
93
98
100
100
98-7
98