Civil War Washington

Remittent following typhoid.—CASE 39.—Private Sidney Nafus, Co. F, 143d Pa. Vols.; age 22. [This man entered Stanton Hospital, Washington, June 15, 1863; Diagnosis—debility; and was transferred to Satterlee Hospital, Philadelphia, on the 17th; Diagnosis—chronic dysentery. He was returned to duty August 28, but contracted typhoid fever October 2, and was confined to bed for four weeks. On November 23 he was admitted to Douglas hospital, Washington, as a convalescent from typho-malarial fever, and on the 27th was transferred to Satterlee Hospital; diagnosis—intermittent fever.] On December 13 he was reported as much improved, and the quinine and carbonate of iron, which he had been taking, was omitted. On the 18th he had a paroxysm of fever, which was repeated next day; pulse 120; tongue coated and somewhat dry; skin moist; headache; tenderness in the epigastric and right hypochondriac regions. Quinine in three-grain doses was given every two hours. The fever continued, but with diminishing intensity for a week, the skin being sallow and dry, the tongue white coated, the bowels regular or constipated. The medicine was omitted on the 28th; but on January 1, 1864, the heart's action became much increased, pulse 138 and skin hot and dry. Digitalis was given and a blister applied to the chest. Next day the skin was cool and the pulse reduced to 96. After this he was treated occasionally with digitalis, but he remained weak for a long time. He was put on guard duty April 25.—Satterlee Hospital, Philadelphia, Pa.