Title: Barrett, William T.

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 380.

Keywords:the continued feverspost-mortem records of continued feverscases reported as typhoid fever, the clinical history insufficient or absentPeyer's patches ulcerated and the ileum or small intestine only affectedPeyer's patches ulcerated through to peritoneumbronchitispleuritic adhesions on both sidesPeyer's patches ulcerated in centre, some ulcerated into peritoneumtyphoid feverlower lobe of lung congested and friablemass of solidified tissue in posterior lower lobe of lungbronchial glands mottled black and whitespleen presented inferiorly cyst containing fluidkidney full of bloodintense congestion in small intestine

Civil War Washington ID: med.d1e8527

TEI/XML: med.d1e8527.xml


CASE 148.—Private William T. Barrett, Co. K, 39th Mass., was admitted Dec. 24, 1862, with typhoid fever. Bronchitis set in about a week before his death, which occurred Jan. 29, 1863. Post-mortem examination twelve hours after death: The brain was pale, firm and weighed forty-three ounces. There were pleuritic adhesions on both sides. The lungs were marked by black pigment in the course of the ribs. The left lung weighed nineteen ounces and a half; its lower lobe was much congested and friable and its bronchial tubes congested, especially in their finer ramifications. The right lung weighed twenty-five ounces and three-quarters; there was a mass of solidified tissue in the posterior part of its lower lobe, the centre of which was occupied by fluid and opened into an inflamed bronchial tube of the third magnitude; several condensed pulmonary lobules were found also in the upper part of the lung; the bronchial glands were mottled black and white and were quite firm. The heart was flabby and contained clots. The liver, seventy-four ounces, was firm and of a light brown color, its acini comparatively distinct; the spleen, eleven ounces and a half, was soft and presented inferiorly a cyst containing half a drachm of fluid; the left kidney, five ounces, was slightly flabby and full of blood; the right kidney, four ounces and a half, was normal. The mucous membrane of the stomach was softened and free from folds. There were patches of intense congestion in the small intestine; some of Peyer's patches were ulcerated in the centre, some were neither ulcerated nor thickened and others near the valve contained black pigment and were ulcerated through to the peritoneum. The large intestine was quite thin.—Lincoln Hospital, Washington, D. C.