Title: Wentworth, Asa C.

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 347.

Keywords:post-mortem recordscontinued feverstypho-malarial feverentered as typho-malarial with or without a record of symptoms to substantiate the diagnosisPeyer's patches ulcerated and the large intestine also implicatedabscesses between pharynx and arytenoid cartilage, on cartilage, and immediately above greater cornu of hyoid bonevocal chords and upper epiglottis œdematousjaundiceliver bronzed and mottled with hard lardaceous spotsPeyer's patches not raised but one presented ulcer with low rounded edgestransverse muscular fibres seen ag base of ulcer

Civil War Washington ID: med.d1e7071

TEI/XML: med.d1e7071.xml


CASE 67.—Private Asa C. Wentworth, Co. H, 19th Me.; was admitted Nov. 26, 1863, with jaundice. [This man appears on the register of the regimental hospital as admitted on the 18th with typho-malarial fever and sent to general hospital on the 22d.] Died Jan. 12, 1864. Post-mortem examination twenty-two hours after death: The pharynx and larynx were inflamed; the soft palate hard, stiff and white; the tonsils unaffected; between the pharynx and right arytenoid cartilage was a large abscess with hard, yellowish-white walls; the cartilage mentioned was the seat of a protuberance, probably a collection of pus; there was also a small abscess immediately above the left greater cornu of the hyoid bone; the vocal chords and the upper surface of the epiglottis were œdematous. The pericardium contained seventeen drachms of yellowish fluid; the heart was very soft. The liver was bronzed and mottled with hard lardaceous spots, the gall-bladder full of dark-brown viscid bile; the spleen was rather small and extremely soft; the pancreas soft and of a dull-red color; the kidneys congested. In the ileum the villi were very soft; Peyer's patches were not raised, but one of them presented an ulcer with low rounded edges, at the base of which the transverse muscular fibres could be seen; the ileum had the ironed-out appearance. The colon was slate-colored, its solitary follicles whitish, with conspicuous dark-spotted centres.—Ass't Surg. Harrison Allen, U. S. A., Lincoln Hospital, Washington, D. C.