CASE 75.—Successive crops of rose-colored spots from 10th to
36th day; perspirations; diarrhœal tendency
slight; gastric irritability; convalescence on 38th
day.—Private S. B. French, Co. B, 6th
Wis.; age 25; is said to have had typhoid fever in
1859. On Sept. 21, 1861, he was taken with chills and fever,
headache, pains in the back and limbs and diarrhœa,
for which quinine was given. He was admitted October 1.
Next day his face was somewhat congested, eyes bright, pulse
100, quick and strong, skin hot and moist, edges of the
tongue dry and its centre covered with a brown crust,
appetite small; three stools were passed, and there was some
cough with viscid mucous expectoration. Turpentine emulsion
and astringents were given. Rose-colored spots appeared on
the 3d and continued to erupt at intervals until the 29th.
The skin was generally moist; but on the 6th and 7th free
perspiration occurred accompanied with sudamina; tinnitus
aurium also was noted at this time, and the pulse fell to
75. The bowels were moved once or twice daily, and there was
more or less tenderness, chiefly umbilical and left iliac.
Five stools were passed on the 10th and again on the 15th,
but the tendency to diarrhœa was not marked, for
three grains of blue-pill repeated twice on the latter day,
and six grains of compound cathartic pill repeated twice on
each of the two following days, did not aggravate it; the
bowels were generally moved twice, but sometimes only once
daily to the end of the record. Profuse nocturnal
perspiration occurred on the 15th and following days. The
tongue on the 8th became red at the tip and edges and brown
or yellowish-brown in the centre; on the 10th it became
slightly dry in the middle; on the 17th red, moist, flabby
and with prominent papillæ, and after this more or
less coated to the end. The appetite continued good from the
second day after admission, but on the 26th and 27th there
was some irritability of stomach. Quinine was given at this
period in three-grain doses every two hours. On the 29th the
patient slept well; his eyes were bright; cheeks not
flushed; pulse 78, regular; skin hot and moist, a few
rose-spots appearing on the breast and abdomen; tongue red
at the tip and edges, yellowish coated and fissured in the
centre; appetite good; one stool was passed; the stomach
continued irritable, and there was some cough with yellow
expectoration. On the 31st he was sitting up; the gastric
irritability and the cough had ceased. On November 1
he was transferred to Annapolis, Md. [whence he was
discharged on account of atrophy of the leg, March 28,
1862].