Title: Hilgert, Jacob

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), 186-187.

Keywords:diarrhœa and dysenteryfatal cases of diarrhœa and dysentery, with accounts of the morbid appearances observedfrom Columbian College Hospital, Washington, D. C.diarrhœa and consumptionchronic bronchitissevere cough, large quantities of muco-purulent sputasputum streaked with blooddulnessdullness on percussion over upper third of lung, tubular respiration heardboth lungs contained numerous minute tubercles, cavity about size of orange near apex of lunglarge and puckered cicatrix-like depression on surface of upper lobe of lungpleuritic adhesionstubercular ulcers of both small and large intestines, mesenteric glands enlargedupper lobe of lung shows large number of minute tubercles, cavity size of orange at top of lobeupper lobe of left lung presented large and much puckered cicatrix-like depression on convex surfaceupper jejunum presented three small tubercular ulcersupper ileum presented large oval tubercular ulcerlower ileum presented Peyer's patch as seat of three small tubercular ulcerslower ileum, ileocæcal valve, and part of cæcum had transverse ulcer just above valvecæcum thickened and ulceratedvermiform appendix deeply ulceratedtransverse colon presented deep ulcersautopsy performed

Civil War Washington ID: med.d1e41332

TEI/XML: med.d1e41332.xml


The notes of the next case were forwarded, with the specimens, from COLUMBIAN COLLEGE HOSPITAL, Washington, D. C., Surgeon Thomas R. Crosby, U. S. V., in charge:


CASE 434.—Private Jacob Hilgert, company E, 104th Pennsylvania volunteers; admitted from Stone hospital January 10, 1865. Diarrhœa and consumption. [This man is borne on the register of Stone hospital, Washington, D. C., admitted December 9, 1864—chronic bronchitis—sent to Columbian hospital January 10th.] He had a distressing diarrhœa, together with a severe cough, and expectorated large quantities of muco-purulent sputa​ streaked with blood. There was dulness​ on percussion over the upper third of the right lung, and tubular respiration was heard on both sides. Treatment: Cod-liver oil with six ounces of whiskey daily. Diet: Milk, beefsteak and toast. The cod-liver oil appeared to increase his diarrhœa, and, January 16th, fusel-oil in five-drop doses was substituted, to be taken in his whiskey. January 25th: The expectoration is more copious, and his strength is failing; appetite very poor; he has four or five stools daily. He died February 6th.—Acting Assistant Surgeon H. D. Vosburgh. Autopsy fourteen hours after death: Both lungs contained numerous minute tubercles; near the apex of the right lung there was a cavity about the size of an orange, and on the surface of the upper lobe of the left lung a large and much puckered cicatrix-like depression was observed; there were pleuritic adhesions on the right side. Both small and largo intestines presented tubercular ulcers. The mesenteric glands were enlarged. [Nos. 480 to 487, Medical Section, Army Medical Museum, are from this case. No. 480 is the upper lobe of the right lung, the cut surface of which shows a large number of minute tubercles. At the top of the lobe there is a cavity the size of an orange, with distinct firm walls. No. 481 is the upper lobe of the left lung, presenting on its convex surface a large and much puckered cicatrix-like depression. No. 482 is a portion of the upper part of the jejunum, presenting three small tubercular ulcers. No. 483 is from the upper part of the ileum of the same patient, and presents a large oval tubercular ulcer the long diameter of which is transverse to the gut. No. 484 is from the lower part of the ileum of the same patient, and presents a Peyer's patch which is the seat of three small tubercular ulcers. No. 485 is the lower extremity of the ileum, with the ileocæcal valve and part of the cæcum; there is a transverse ulcer just above the valve, and the cæcum is thickened and ulcerated. No. 486 is the vermiform appendix, which is deeply ulcerated. No. 487 is a portion of the transverse colon, which is thickened, and presents a number of deep ulcers.]