Title: Chapman, John F.

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 383.

Keywords:the continued feverspost-mortem records of continued feverscases reported as typhoid fever, the clinical history insufficient or absentPeyer's patches ulcerated and the large intestine also implicatedintestinal perforationtubercles in upper lobe of each lungcolon ulcer penetrated to peritoneumPeyer's patches extensively ulcerated, solitary glands showed many ulcers

Civil War Washington ID: med.d1e8923

TEI/XML: med.d1e8923.xml


CASE 166.—Private John F. Chapman, Co. I, 32d Me.; age 35; was admitted July 2, 1864, with some irritability of the bowels, soreness of abdomen, slight tympanites, fever, great thirst, a dry furred tongue and a pulse of 111. He became afflicted with a troublesome cough on the 5th, which continued for some days, but on the 11th he was reported as improving. Two days later the stomach became irritable and the skin showed a tendency to slough. On the 14th he refused food and medicine, and next day he died. Post-mortem examination three hours after death: The right lung weighed fourteen ounces, the left fourteen ounces and a half; both were healthy except that there were a few softened tubercles in the upper lobe of each. The heart weighed eight ounces; its right ventricle contained a small fibrinous clot. The stomach was healthy. Peyer's patches were extensively ulcerated; the solitary glands showed many ulcers; the ileo-cæcal valve was much congested; the ascending colon presented two ulcers—the upper one, about the size of a pea, was superficial, the lower, five-eighths of an inch in diameter, penetrated to the peritoneum. The liver weighed sixty-nine ounces and was slightly congested; the gall-bladder contained five or six ounces of thin bile; the spleen weighed thirteen ounces.—Act. Ass't Surg. James T. Logan, Lincoln Hospital, Washington, D. C.