Civil War Washington

CASE 30.—Delirium, diarrhœa and rose-colored spots; improvement daily from the 38th day, when the tongue became moist.—Private Andrew Schick, Co. E, 1st Pa. Art., was taken about Aug. 20, 1861, with a cold; he suffered for a week from diarrhœa with severe pain in the head, and fever which became aggravated in the middle of the day. He was admitted Sept. 19 as a case of typhoid fever. The patient was stupid, deaf and delirious; the stools thin; the right iliac region so tender that he objected to having the abdomen touched; the pulse 128, small and feeble; the skin hot but soft and presenting an occasional rose-colored spot with sudamina on the neck; the tongue red at the tip and gray in the centre and at the base. A half-ounce of castor oil was given. Next day three stools were passed, the skin was hot and dry, and there was much thirst; otherwise little change was presented. Quinine was given on the 27th. Next day there was less fever; the pulse fell to 95 and was stronger; the tongue was moist, but the skin continued dry; the mind became clearer. The improvement progressed on the 29th. The pulse on the 30th was 106; the tongue clean; appetite good; bowels quiet and natural. Whiskey-punch was given. The patient was returned to duty November 1.