Civil War Washington

CASE 44.—Date of onset not defined; diarrhœa; headache; wakefulness; mental dulness​; eruption; cough; inflammation of parotid, death 13 days after admission.—Private John Kuenzle, Co. I, 35th Pa. Vols.; age 29; was admitted Nov. 5, 1861. Diagnosis—typhoid fever. He had been attacked some time before with chills followed by fever, headache, anorexia, thirst and diarrhœa. On the 6th he was wakeful, eyes suffused, cheeks slightly injected, pulse 100, skin hot and showing a few rose-spots on the chest, tongue dry and coated brown in the centre, teeth black with sordes; his appetite was poor and he had slight headache and tenderness in the parotid region; the bowels were relaxed and the abdomen tympanitic. Emulsion of turpentine was given every four hours; twelve grains of quinine and astringents were ordered, with Dover's powder at night. Next day the tongue was red at the tip and edges, brown in the centre and slightly moist; the quinine was repeated. He continued in this condition and under treatment by quinine until the 10th, when some cough was recorded. Next day he was dull mentally, and the cough was accompanied with white frothy sputa. No further details are given. He died on the 17th.