Civil War Washington

CASE 109.—Mild typhoid grafted on remittent fever.—Private Eli Sulgrave, Co. D, 19th Ind.; age 18; had a chill about Aug. 23, 1861, and was admitted September 1. Diagnosis—typhoid fever. He had headache, pain in the bones and back, and slight diarrlœa with fever, which was aggravated daily about noon. On the morning of the 5th there was tinnitus aurium but no fever; the pulse was 78, skin cold and moist, tongue coated, pale and flabby, appetite good, bowels regular. Quinine was ordered. In the evening the pulse was 72 and strong, tongue pale. flabby, red at the edges and white at the base and centre. During the day he had one thin stool and was weak and giddy. Dover's powder was given at night. Until the 11th the patient continued without change, a slight febrile action occurring every evening, manifesting itself in flushing of the face, but the pulse in no instance rose higher than 80; there was one stool daily, with, on one occasion, pain in the left iliac fossa. He usually rested well and had a fair appetite, although his tongue continued pale, flabby and coated. On the 13th a few rose-spots appeared, which faded next day, but were replaced by others and an eruption of sudamina; the pulse was 68, the skin cool, bowels quiet and not tender, tongue coated brownish but red at the tip. On the 13th he was sent to hospital at Baltimore, Md. [He was afterward transferred to the 20th Ind. and served until the close of the war.]