Civil War Washington

CASE 8.—Headache and dizziness; bowels quiet notwithstanding purgative medicines, but right iliac region tender; rose-spots on the 14th day, with convalescence succeeding.—Corporal B. F. Gale, Co. A, 4th Mich.; age 20; was seized about Sept. 9, 1861, with weakness, pain in the head and back and fever, and was admitted as a case of typhoid fever. In the evening his pulse was found to be 92, quick and strong, skin natural, tongue red at tip but coated slightly in the middle, bowels quiet and appetite poor. Ten grains each of calomel and jalap were given. Next day the pulse was 74, the skin natural and moist, the tongue white in the centre and red at the edges, and the bowels quiet. Quinine was ordered. In the evening the pulse was 66 and the skin and tongue unchanged. One stool was passed in the morning; no tenderness. The patient had slight headache and dizziness. The bowels remained quiet during the following days, but some tenderness was manifested in the right iliac region. The skin continued warm and moist and the tongue unchanged, although the patient developed some appetite. On the 20th he was sitting up. On the 21st he had tinnitus aurium and some thirst, but the pulse was 64, tongue clean and appetite good. On the 22th a few rose-colored spots appeared, the patient's condition otherwise remaining unaltered. He was improving generally when, on October 1, he was transferred to hospital at Annapolis, Md.