Civil War Washington

CASE 6.—Private Jeremiah O'Brien, Co. G, 24th N. Y. Cav.; age 19; was admitted July 21, 1861, having been sick a week with typhoid fever. On admission his pulse was 88 and full, bowels soluble and tongue moist; but there was pain in the right iliac fossa, with delirium and sleeplessness. The pulse became more frequent and less full, the abdomen tympanitic, the stools involuntary and the urine retained, necessitating catheterization. He died on the 27th. Post-mortem examination: The right lung was consolidated posteriorly; the intestines contained five lumbricoid worms and an unusual amount of fæces, natural in color but soft. Peyer's patches were thickened and inflamed, those near the ileo-cæcal valve ulcerated; the solitary follicles also were inflamed.—Act. Ass't Surg. Henry Gibbons, jr., Douglas Hospital, Washington, D. C.