Title: Pierce, J. T.

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 ileumupper and middle lobes of right lung solidified except anteriorlyposterior left lung in gray hepatizationno prominent lesion in intestines

Civil War Washington ID: med.d1e7444

TEI/XML: med.d1e7444.xml


CASE 90.—Private J. T. Pierce, Co. G, 33d Mass., was admitted June 16, 1863, with typho-malarial fever. He had frequently suffered from intermittent fever. When admitted he had been sick for some time and was greatly emaciated; he had some diarrhœa; his tongue was coated in the middle, dry and cracked; pulse 132. After this his breathing became hurried, and coarse mucous râles were heard over both lungs; there was also marked nervous prostration. He died on the 21st. Post-mortem examination twenty-six hours after death: Body emaciated; rigor mortis slight. The brain was normal. The mucous membrane of the œsophagus was of a pale purple color. The trachea contained much bronchial secretion; its mucous membrane was purplish. The upper and middle lobes of the right lung were solidified except their anterior free borders, which were pale and healthy; the lower lobe was congested hypostatically but not solidified. The posterior portion of the left lung was in a state of gray hepatization, the anterior part healthy. The right lung weighed twenty-seven ounces and a quarter, the left thirty-seven ounces; the bronchial glands were large, one of them softened. The pericardium was lined by recent lymph roughened by papillary elevations; it contained six drachms of flaky serum. The right cavities of the heart contained a large venous clot, the left cavities a mixed clot which extended into the aorta. The liver weighed fifty-seven ounces, it was pale and slightly softened; the gall-bladder contained a drachm of greenish-brown viscid bile. The spleen was firm and weighed three ounces and three-quarters. The pancreas was firm and white, it weighed two ounces and a half. The right kidney weighed five ounces and a quarter, the left five and a half, both were pale and flabby. No prominent lesion was observed in the intestines; the lower part of the jejunum was contracted and its mucous membrane pale; Peyer's patches were rather pale and dotted with points of black pigment; the large intestine was contracted and its mucous membrane of a pale bluish color.—Ass't Surg. Harrison Allen, U. S. A., Lincoln Hospital, Washington, D. C.