Civil War Washington

CASE 7.—Private Edward Brown, Co. H, 35th Mass.; age 18; was admitted Dec. 16, 1864, with typhoid fever. The patient was but partially conscious, had frequent involuntary stools, epistaxis, quick pulse, tenderness over abdomen, particularly in right iliac region, rose-colored spots and well-marked sudamina; he had muttering delirium and picked at the bedclothes. On the 18th his tongue resembled a piece of unpolished mahogany and his teeth and gums were coated with sordes. He died next day. Post-mortem examination five hours and a half after death: The brain was normal. The larynx and trachea were healthy; the right lung weighed twenty ounces and a half, the left seventeen ounces, the lower lobe of each in a state of red hepatization and the inferior portion of the upper lobe of the right lung congested; the heart was normal. The liver weighed seventy-two ounces and was somewhat flabby; the spleen sixteen ounces; several of Peyer's patches were ulcerated; the solitary glands much enlarged and many of them ulcerated; the left kidney somewhat congested.—Act. Ass't Surg. H. M. Dean, Lincoln Hospital, Washington, D. C.