Title: Lyons, Daniel W.

Source text: The Medical and Surgical History of the War of the Rebellion. (1861-65.), Part 2, Volume 1 (Washington, DC: Government Printing Office, 1879), 156-157.

Keywords:diarrhœa and dysenteryfatal cases of diarrhœa and dysentery, with accounts of the morbid appearances observedfrom Lincoln Hospital, Washington, D. C.typhoid feverdelirioussevere pain in chesteffusion in subarachnoid space and lateral ventriclesadhesions on anterior surface of lungstellate spots of black pigment scattered through upper lobe of lungulcerations of transverse rugæ of jejunummesenteric glands enlargedautopsy performed

Civil War Washington ID: med.d1e40969

TEI/XML: med.d1e40969.xml


Case from the case-book of LINCOLN HOSPITAL, Washington, D. C.; Surgeon Henry Bryant, U. S. V., in charge to May, 1863.


CASE 332.—Sergeant Daniel W. Lyons, company K, 145th New York volunteers; age 21; admitted January 11, 1863. The first notes were taken January 14th. The diagnosis at that time was typhoid fever; the usual symptoms of that disease were present, and the patient was delirious at times. There was no perceptible change until January 17th, when he complained of a severe pain in his chest. On percussion slight dulness​ was detected over the lower lobe of the left lung, but nothing abnormal was discovered by auscultation. He had a slight cough, with rusty-colored expectoration. The treatment was at first stimulant; on the appearance of pulmonary symptoms an expectorant mixture was ordered, with counter-irritation over the seat of pain. Died, January 19th. Autopsy one hour after death: There was some effusion in the subarachnoid space and in the lateral ventricles. Strong adhesions were found on the anterior surface of the right lung; the right lung weighed eighteen ounces and a quarter, the left thirteen ounces and a half; the lower lobe of the left lung was congested hypostatically and presented a circumscribed region of hepatization; stellate spots of black pigment were scattered through the upper lobe. The heart weighed eight ounces and a half. The spleen weighed seventeen ounces and a half and was of a dark-purple color. The liver was pale and weighed seventy-four ounces. The kidneys weighed five ounces and three-quarters each. Ulcerations were observed on the transverse rugæ of the jejunum. The colon was contracted. The mesenteric glands were greatly enlarged.—Assistant Surgeon George M. McGill, U. S. A.