CASE 44.—Date of onset not defined; diarrhœa;
headache; wakefulness; mental dulnessdullness; eruption;
cough; inflammation of parotid, death 13 days after
admission.—Private John Kuenzle, Co. I, 35th Pa.
Vols.; age 29; was admitted Nov. 5, 1861.
Diagnosis—typhoid fever. He had been attacked some
time before with chills followed by fever, headache,
anorexia, thirst and diarrhœa. On the 6th he was
wakeful, eyes suffused, cheeks slightly injected, pulse 100,
skin hot and showing a few rose-spots on the chest, tongue
dry and coated brown in the centre, teeth black with sordes;
his appetite was poor and he had slight headache and
tenderness in the parotid region; the bowels were relaxed
and the abdomen tympanitic. Emulsion of turpentine was given
every four hours; twelve grains of quinine and astringents
were ordered, with Dover's powder at night. Next day the
tongue was red at the tip and edges, brown in the centre and
slightly moist; the quinine was repeated. He continued in
this condition and under treatment by quinine until the
10th, when some cough was recorded. Next day he was dull
mentally, and the cough was accompanied with white frothy
sputa. No further details are given. He died on the 17th.