Title: Wisner, Walter

Source text: The Medical and Surgical History of the War of the Rebellion, Part 3, Volume 1 (Washington, DC: Government Printing Office, 1888), 387.

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 implicatedtyphoid fevertracheal mucous membrane deep dull-purplish redtrachea and bronchi contained thin bloody fluid instead of normal secretionlymphatic glands at bifurcation of trachea large and engorged with black bloodintestines diseased throughoutPeyer's patches enlarged, elevated, and ulcerated, no ulcers larger than head of pinsolitary glands also affected, mucous membrane near valve modulated with shot-like eminencesmucous membrane of end of ileum dark-red color

Civil War Washington ID: med.d1e9572

TEI/XML: med.d1e9572.xml


CASE 194.—Private Walter Wisner, Co. F, 6th Mich. Cav.; age 28; was admitted July 30, 1863, with typhoid fever, and died August 3. Post-mortem examination eighteen hours after death: The brain weighed fifty-three ounces; both lobes of the cerebrum were highly congested, especially in their superior and anterior portions, which were in part of a brilliant crimson color. The tracheal mucous membrane was of a deep dull-purplish red; the trachea and bronchi contained a thin bloody fluid instead of the normal secretion; the veins under the mucous membrane of the larynx were distended; the lymphatic glands at the bifurcation of the trachea were large, soft and engorged with black blood. The lungs were of a delicate pink color; the external and lateral portions of the upper lobes and the whole of the lower lobes were doughy, semi-solidified and engorged with dark blood mixed with a frothy bronchial secretion; the right lung weighed twenty-five ounces, the left twenty-four ounces. The cavities of the heart were free from clots, except a very thin wafer-like formation on the tricuspid valve. The liver was flabby and somewhat congested; the spleen, sixteen ounces, was grayish-purple in color and unusually firm. The intestines were diseased throughout; the mucous membrane of the upper portion was flaccid, softened and easily torn, the valvulæ conniventes of an orange-ochre color; Peyer's patches were enlarged, elevated above the surrounding mucous membrane, whitish in color and ulcerated, none of the ulcerated points being larger than the head of a pin; the solitary glands were also affected and, in the neighborhood of the valve, the mucous membrane was completely modulated with shot-like eminences; the mucous membrane of the last six feet of the ileum, which was the part chiefly involved, was of a dark-red color and its veins were very prominent. The kidneys were slightly congested, soft and flaccid.—Ass't Surg. Harrison Allen, U. S. A., Lincoln Hospital, Washington, D. C.