JAUNDICE. 55 



the intermittent and remittent fevers of marshy dis- 

 tricts; and so common is it in Algeria that it forms 

 a prominent symptom in seven-tenths of the cases of 

 intermittent fever of that country. We likewise meet 

 with it as a symptom of the recurrent or relapsing fever 

 of the British Isles. This is the same fever which gave 

 rise to the great epidemics which have prevailed in 

 Scotland, Ireland, and England, particularly in London 

 and other large towns, since 1843. It is seen hand in 

 hand with the enteric, pythogenic, or typhoid fever, 

 which well-nigh robbed us of the heir-apparent to the 

 British throne. I have met with well-marked cases of 

 Jaundice, accompanying some severe cases of scarlatina, 

 and in one case of a severe form of rubeola. 



8. Jaundice forms a prominent symptom of that 

 deadly fever so prevalent in the West India Isles, and 

 that portion of the great continent of America which 

 extends from the mouth of the Mississippi to the Rio 

 de la Plata, and known as the typhus icterodes of 

 Cullen, the febris flava of the present nomenclature 

 of the College of Physicians, the fievre jauue of the 

 French, the gelbes fieber of the Germans, the vomito 

 nigro of the Spaniards, the pestilentia hsemagastrica 

 of Copland, the synochus icterodes of Young, the 

 febris flava Americanorum of J. Frank, the febbre gialla 

 of the Italians, the yellow fever of the generality of 

 Englishmen, and the YELLOW JACK of the British tar. 

 It may be denned as a malignant epidemic fever, usually 

 continued, but sometimes assuming a paroxysmal type 

 characterized by yellowness of the skin, and accom- 

 panied, in the severest cases, by haemorrhage from the 

 stomach, mouth, and nares more familiarly known as 

 the black vomit. 



