CASE 62.—Slight diarrhœa; dizziness; rose-spots on
10th day; improvement at end of 2d
week.—Private George W. Olney, Co. A, 4th
Mich.; age 18; became sick about Sept. 9,
1861, with weakness, headache, diarrhœa and slight
fever without chills, and was admitted on the 16th.
Diagnosis—typhoid fever. He had epistaxis; his
pulse was 70 and full; skin warm and moist; tongue pale,
flabby and slightly coated white; bowels quiet. Ten grains
each of calomel and jalap were prescribed. He had three
passages from the bowels during the night, and next day the
skin was warm and sweating. Rose-colored spots appeared on
the 18th, and the tongue began to clean; there was some
dizziness but no mental dulnessdullness; two thin large stools were
passed, and there was tenderness in the right iliac region.
On the 19th the pulse was 70; tongue tremulous, pale at the
edges and coated in the middle; bowels quiet; skin hot and
moist. Quinine was given. Next day the skin was natural;
there was no tenderness nor tympanites; the countenance was
pleasant and the eyes bright. A few dark rose-colored spots
appeared on the 22d. The bowels remained quiet until the
23d, when they were moved seven times, but there was no
accompanying tenderness, meteorism nor gurgling; the
appetite was good, the tongue pale, gray in the centre but
cleaning at the tip. Opiate enemata controlled the
diarrhœa and the patient improved on tonics and
stimulants. He was able to walk about on October 1,
when he was transferred to Annapolis, Md.