Civil War Washington

CASE 159.—Private Martin Hogle, Co. B, 5th N. Y. Cav.; age 27; was admitted Aug. 12, 1864, with well-marked symptoms of typhoid fever. He was delirious, the abdomen tympanitic and tender, the tongue furred and the pulse accelerated. He died on the 29th. There was no diarrhœa until within four days of death. Post-mortem examination on the day of death: Rigor mortis well marked; body moderately emaciated. The trachea was lined with frothy sputa of a molasses color; the right lung normal externally, was studded internally with melanic spots about the size of peas, it weighed twelve ounces; the left lung was healthy, it weighed seven ounces and a half. The right side of the heart contained a large firm black clot. A considerable quantity of pus was observed on the omentum; the spleen, fourteen ounces and a half, was firm and of a bluish-slate color; the liver, seventy-eight ounces, appeared to be normal; the kidneys were healthy. Peyer's patches were extensively ulcerated and the ulcers had perforated in five places; the large intestine was normal. [See Med. Sect., Army Medical Museum, 369 to 373, and also plate facing this page.]—Act. Ass't Surg. H. M. Dean, Lincoln Hospital, Washington, D. C.