Cases of Typhoid Fever Treated at the City Hospital, Boston, from April 10, 1867, to July 30, 1867

William W. Morland
1867 Boston Medical and Surgical Journal  
Boston in the summer of 1866, and went to service in one of the most airy and healthy localities in tho city. Three weeks previous to entering the hospital, which she did on April 10th, 1867, she gavo up her situation and went to take care of a married sister, then ill for two weeks with typhoid fever, and who afterwards died. It will be seen, subsequently, how complete a change, hygienically, she underwent, and the evident connection of her own, and of other cases, with this particular
more » ... , will be remarked. During the week following the 29th of March, she felt an indefinable malaise, and had slight headache. On the 6th of April, tho symptoms were more marked. A soreness of the throat, scarcely noticed before, became more troublesome, and, subsequently, severe ; and there were chills, sweats, and violent headache. No epistaxis. On her admission to the hospital, the following appearances were noted:-"Aspect uneasy; face flushed; pulse 100, tense; tongue dry, with a light, white coat; lips parched; no sordes; catamenia present; no abdominal tenderness nor tympanites; slight gurgling heard over descending colon ; no eruption visible." During tho succeeding three days, the headacho became extremely violent, and four leeches were applied to the temples ; the bleeding was profuse, and great relief ensued. Pain in tho right iliac fossa was first observed * The reports of the eases are prepared from tho records kept by Mr. R. H. Fitz, my House Officer.
doi:10.1056/nejm186710310771301 fatcat:yrnhzzxoevhvpgypt7ddh5tupi