The Military Surgeon; Journal of the Association of Military Surgeons of the United States Volume 24-25 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1909 edition. Excerpt: ...gives a detail discussion of the habits of the fly.--F. J. Conzelmann. River Baths and Typhoid Fever.--(Dr. Lafforgue, Allge. Mil. Zeitung, 1908, No. 45).--Water plays an important role in the etiology of typhoid fever. In nearly every great epidemic in large cities the Fberth bacillus was found in drinking water. River bathing may also serve to spread typhoid infection. It is noteworthy that icterus is a prominent symptom in typhoid patients infected in this way. Tn the classical typhoid fever epidemics of Saint Cloud, Loursine and Nouvelle, France, icterus was an important symptom. In Magdeburg in 1873 to 1879 repeated cases of typhoid fever occurred accompanied by icterus in those who frequented the military swimming school of the river Elbe. Pfuehl has also described an epidemic of this kind in Altona in soldiers who had taken baths in the river Elbe. Kirschner described analogous cases after river baths in the Oder. Many authors speak of two distinct diseases attacking the individual simultaneously, in their reports of typhoid cases with icterus. The author observed three patients admitted to hospital within short intervals, and at a time when no case of typhoid existed in the whole regiment. The clinical picture of the three cases was, aside from a few unimportant signs, the same in all--continuous high fever, weakness, alternating prostration and delirium, diarrhoea, bronchitis, enlargement of the spleen, albuminuria, enlarged liver, severe and repeated epistaxis, jaundice of the whole body, especially marked in the conjunctivae. As differential diagnoses, yellow fever, icterus gravis, malaria and typhoid with lesions of the liver were considered. Blood examination revealed no malaria plasmodia spirillae of Obermeier. The rose spots.