Civil War Washington

CASE 122.—Death in eight days. Diagnosis—typhoid, but symptoms and treatment those of remittent fever.—Private Edwin Graves, Co. D, 86th N. Y. Vols.; age 20; was admitted March 17, 1862. He was taken sick about the 12th with pain in the chest, headache, nausea, a feeling of general swelling and much debility, succeeded by a chill, fever and profuse perspiration, which symptoms recurred daily about 11 A. M.; he had also much annoyance from a numb feeling in his fingers. On admission the pulse was rapid and weak, the skin hot and moist, the tongue moist, red and slightly coated; the patient's appetite was poor and he had some diarrhœa and pyrosis; he stated that the chill and fever occurred at the same time in rapid alternations in different parts of the body, the paroxysms lasting two or three hours. Twenty-four grains of quinine were directed to be taken during the day. He was delirious during the 18th; his pulse rapid and weak, skin natural, tongue moist and coated white. Punch and beef-essence were given every two hours, he died delirious on the morning of the 19th.