Title: Sage, Lewis

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 351.

Keywords:post-mortem recordscontinued feverstypho-malarial feverentered as typho-malarial with or without a record of symptoms to substantiate the diagnosiscondition of Peyer's patches variously stated, but not ulcerated; intestines more or less affected, but no ulceration of the ileumileum deeply injected, dark purple colorsolitary follicles in ileum enlarged, ulcerated near ileo-cæcal valvePeyer's patches had shaven-beard appearancedeep ulcers in colon, in transverse colon ulcers cicatrizingintestinal diverticulum in ileum

Civil War Washington ID: med.d1e7409

TEI/XML: med.d1e7409.xml


CASE 89.—Private Lewis Sage, Co. A, 186th N. Y., was admitted Nov. 30, 1864, from City Point, Va., where he had been under treatment for typho-malarial fever. On admission he was in an unconscious condition, with low delirium, troublesome diarrhœa and a harassing cough; pulse 100, soft. He was treated with milk-punch and ammonia, expectorants and turpentine emulsion with laudanum; but he sank gradually and died December 10. Post-mortem examination: All the viscera appeared to be healthy except the intestines. The mucous membrane of the ileum was deeply injected throughout and of a dark purple color; its solitary follicles were enlarged and some near the ileo-cæcal valve were ulcerated; Peyer's patches, which were slightly thickened, presented the shaven-beard appearance. The colon presented a number of deep ulcers, especially at its extremities; in the transverse colon several of the ulcers were cicatrizing. An intestinal diverticulum, two inches and a half long, was found in the ileum about three feet and a half from the ileo-cæcal valve. [Nos. 465 and 466, Med. Sect., Army Medical Museum, are from this case.]—Act. Ass't Surg. W. C. Minor, Third Division Hospital, Alexandria, Va.