CASE 37.—Skin
generally moist and intestinal symptoms not prominent; some
delirium and pulmonary trouble; crops of rose-colored spots
from 13th to 31st day; convalescence on the 37th
day.—Private Martin
A. Stowell, Co.
A, 3d Vt.; age 21; was admitted Oct. 1, 1861, having been sick
since September 21 with
pain in the head, back and limbs, and diarrhœa. Quinine had
been taken. On the day after admission he was looking natural
although his face was somewhat congested; pulse 100, full and
strong; skin hot and moist; tongue moist, white at the edges, dry
and brown in the centre; he had some headache and abdominal
tenderness. Spirit of nitre, camphor and tincture of iron were
ordered. A six-grain dose of blue-pill was given on the following
day, and repeated on the 4th, with two grains of extract of
colocynth. On this day there was some delirium; the tongue was moist
and yellow coated and the skin covered with perspiration. This was
followed by frequent stools on the 5th, but the diarrhœa did
not persist. During the remainder of the patient's sickness the
bowels were moved twice daily for two weeks and once daily
thereafter to the termination of the record. Rose-spots appeared on
the chest on the 6th, the tongue became red at the margins and
brown-coated in the centre, and there was slight tenderness in the
right iliac region. More rose-spots erupted on the 8th; the tongue
became dry, red and cracked, and there was tenderness in the left
iliac and umbilical regions with borborygmus. On the 11th a few
rose-spots appeared. On this day turpentine emulsion was prescribed.
Delirium returned on the 13th and continued at times until the 18th,
during which time the tongue, skin and pulse were unaltered,
although a slight cough was developed. But on the 18th the tongue
became slightly moist, and next day it was moist and clean, the
pulse 72, regular, the skin of natural temperature although still
showing some rose-colored spots, the appetite good, the abdomen
tender and tympanitic over the transverse colon. Some rose-spots
appeared on the 24th. On the 30th the patient was dressed and
sitting up. On November
1 he was transferred to Annapolis,
Md. [whence he was discharged on the 29th
because of debility].