Civil War Washington

CASE 95.—Chills, fever and perspirations; eruption on 18th day; relaxation of bowels; iliac and epigastric tenderness; delirium; death on 35th day.—Private John Dietrich, Co. B, 35th Pa. Vols.; age 19; was admitted Nov. 5, 1861. Diagnosis—typhoid fever. He had been healthy till Oct. 20, when he was taken with chills, fever, perspirations, pain in the head, back and limbs, lassitude, anorexia, thirst, vomiting, diarrhœa and cough with expectoration. On the fifth he was wakeful, eyes suffused, cheeks flushed, pulse 120, quick and bounding, skin hot, perspiring and covered with eruption and sudamina on the chest and abdomen, tongue moist and white-coated, bowels slightly relaxed, tympanitic and tender in the iliac and epigastric regions; he had some appetite, much thirst, slight cough and somewhat accelerated respiration. Quinine and tincture of iron were prescribed, with sinapisms to the abdomen. On the 7th the tenderness and tympanites were lessened. The mustard was repeated and Dover's powder given at night. He had some headache on the 8th and became delirious on the 10th. Here the record closes abruptly with the announcement of death on the 23d. Turpentine emulsion was administered on the 8th.