Title: Tice, E. J.

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 248.

Keywords:clinical recordsthe continued feverstypho-malarial and typhoid feversSeminary Hospital casescase-books of Seminary Hospital, D. C.remittent feverco-existence of typhoid fever

Civil War Washington ID: med.d1e4802

TEI/XML: med.d1e4802.xml

CASE 120.—Remittent fever and a recurrence of remittent overlapping the typhoid case.—Private E. J. Tice, Co. G, 14th N. Y. Vols.; age 23; had chills, perspirations, pain in the head and umbilical tenderness on Sept. 28, 1861, and was admitted October 2 as a case of remittent fever. On the evening of admission the patient's pulse was not accelerated, but his face was flushed, eyes injected and skin hot; his tongue was moist and coated white, appetite deficient, bowels tender and moved once during the day. Blue-pill and opium were given. Next morning the tongue was coated yellow and bowels moved; pulse 80, strong; skin perspiring. Quinine was ordered to be taken at the rate of sixteen grains a day, with Dover's powder in the evening. This condition of slight fever with yellow-coated tongue, anorexia and some headache continued for several days but in the meantime the bowels became quite loose, meteorized and tender, especially in the right iliac region. On the 8th the tongue was red at the tip and edges and yellowish-white in the centre, the appetite improved and the pulse lowered to 60. Tincture of iron was ordered. During the following week the bowels were less affected, only one or two stools being passed daily; the skin was of the natural temperature and sometimes perspiring, the appetite good, but a slight headache persisted. A chill occurred suddenly on the 16th, and next day the pulse was 100, full and strong, the skin hot and dry, the tongue slightly moist, white at the sides, yellow in the centre, the appetite poor, the bowels moved once, the abdomen tender, especially in the right iliac region. Blue-pill and opium were given in repeated doses. On the 18th the pulse fell to 70 and several rose-colored spots appeared on the skin; but the tongue continued coated until the 28th, Fowler's solution having been given in the meantime, and the headache, relaxed bowels and abdominal tenderness lasted for ten days longer. The patient was transferred, November 18, to Annapolis, Md. [as a case of typhoid fever; he was returned to duty with his regiment December 2].