CASE 111.—Private Charles Lewis, Co. G, 23d U. S. Colored troops; age 21; was admitted
Oct. 20,
1865, on which day he had a chill followed by
fever. Dover's powder was given in the evening, but the
chill recurring next day, quinine in five-grain doses was
administered. There was no chill on the following day; but
the febrile action continued and increased so that on the
24th his pulse was 120, quick and full, respiration 60, skin
hot and dry, tongue furred; and he was weaker, sleepless and
slightly delirious. Small doses of eggnog, chlorate of
potash and turpentine with Dover's powder were administered. Next day his condition was unchanged; castor oil was given
to move the bowels. On the 26th the insomnia and delirium
continued; the tongue was dry, brown and coated; the eyes
jaundiced; the urine passed involuntarily, staining the
linen yellow; the abdomen tender and tympanitic; a thin
yellow-colored discharge was procured by the oil. Next day
the pulse was not so strong, the tongue continued dry and
` brown, but the skin became somewhat moist and the patient
slept a little. One grain of calomel and two of ipecacuanha
were given every hour for six hours, with mustard to the
back of the neck and chest. He died on the 28th. Post-mortem examination thirty hours after death: The arachnoid over the interpeduncular
space was thickened and opaque and there was serous effusion
in the cerebral ventricles. The lungs and heart were normal,
but there was effusion in the left thoracic cavity. The
liver was large, its right lobe honey-combed, full of air
and of a very peculiar appearance, and its left lobe normal in texture but
of a yellow color. The pancreas was large; the kidneys
normal; the spleen large, soft and dark-colored. The colon
and rectum were normal; Peyer's patches were enlarged, as
were also the mesenteric glands. [Specimen 639, Med. Sect., Army Medical Museum, from this case, shows the honey-combing of the liver by dilated gall-ducts.]—Surg. E. Bentley,
U. S. V., Slough
Hospital, Alexandria, Va.