CASE 52.—Private Byron C. Crane, 18th N. Y. Independent
Bat'y, was admitted Sept. 22, 1861, from
Washington street prison. Diagnosis—typho-malarial
fever. He had high fever with daily exacerbations followed
by sweating; his tongue was thickly coated and there was
much cerebral excitement, with twitchings of the hands and
fingers and numbness of the feet and legs. Quinine was given
freely and Mindererus' spirit every six hours. On the 26th
there was profuse and almost constant sweating, with hot
skin, little appetite, increased twitchings, restlessness
and but little sleep. Milk-punch was ordered and the acetate
of ammonia omitted. The sleeplessness continued until the
30th, on which date constipation was noted. Active delirium
set in next day with much jactitation, and continued until
death on October
4. Post-mortem
examination twenty-four hours after death: Small intestine
extensively inflamed and Peyer's patches deeply ulcerated;
spleen very dark; liver normal; kidneys much congested;
lungs normal; pericardium injected and containing an
increased quantity of fluid. Other viscera not
examined.—Third Division
Hospital, Alexandria. Va.