Civil War Washington

Case was forwarded, with specimens, to the Army Medical Museum from the JUDICIARY SQUARE HOSPITAL, Washington, D. C., Assistant Surgeon Elias J. Marsh, U. S. A., in charge.

CASE 264.—Private Alfred Woodrow, company C, 23d New Jersey volunteers; admitted from the army of the Potomac February 16, 1863, in a dying condition. He stated that he had been taken sick early in December with fever, without chills, but accompanied by delirium. Diarrhœa set in during the fever, and continued after it had disappeared. During the last two or three weeks his bowels have been moved eight or ten times a day. He died the day of his admission. [It appears from the register of the hospital of the 1st Division, 6th Corps, that this man was admitted to that hospital January 20th, and sent to Washington February 13th; the diagnosis was typhoid fever.] Autopsy: Body much emaciated. The brain and spinal cord were not examined. The lungs were healthy. The heart healthy but rather small. The kidneys were healthy. The spleen healthy, but adherent to the liver. The smaller curvature of the stomach was congested. The mucous membrane of the descending colon and sigmoid flexure was thickened, softened, and presented numerous ulcers an eighth to half an inch in diameter; the mucous membrane of the rest of the colon was thickened, softened, and of a greenish-gray color. The cæcum was very congested and inflamed. Peyer's glands were thickened, and there were patches of inflammation through the whole length of the small intestine.—Assistant Surgeon E. J. Marsh, U. S. A. [No. 217, Medical Section, Army Medical Museum, is from this case. The specimen is a portion of the descending colon, which is considerably thickened, and presents numerous follicular ulcers.]