Civil War Washington

CASE 23.—Deafness and mental dulness​; intestinal symptoms; perspirations and rose-colored spots on 19th day; sordes and delirium on the 20th and 21st; convalescence on the 33d day.—Private William O'Brien, Co. G, 13th N. Y.; age 20; contracted typhoid fever Oct. 15, 1861, and was admitted November 1. Next day there was headache and deafness, tinnitus and hebetude; the face was congested; pulse 78; the tongue was dry, swollen and coated yellow; the patient had no appetite, much thirst, relaxed bowels and some tympanites and abdominal tenderness; profuse sweating had occurred during the night, and on the chest and abdomen a few rose-colored spots were discovered. On the 3d sordes appeared on the teeth, and on the 4th delirium supervened, the patient making frequent attempts to leave his bed; the tongue became red at the tip and edges. There was less deafness, and the mind became clearer on the 6th, but the delirium did not entirely subside until the 11th. Onthe 16th the tongue was clean, pulse 75, and there was no abdominal tenderness. The case was treated from the 3d with milk-punch, beef-essence and emulsion of turpentine. He was transferred to Annapolis, Md., on the 18th [and returned to duty Dec. 16].