396 DISEASES OF UNCERTAIN ETIOLOGY 



Cold baths reduce the temperature temporarily during the first six 

 or seven days. 



The temperature then rises to iio° F. about the eighth day. 



Delirium sets in, coma and death in 50 per cent, of cases. 



Others recover. The temperature remains at about 105° F. for 

 three weeks, and falls to normal about the sixth week. 



Little is known about the aetiology, &c. 



The viscera, blood and urine appear to be normal. 



(4) DOUBLE CONTINUED FEVER. 



This is seen in China. Onset insidious. Temperature gradually 

 rises to 104° F., remitting three degrees daily; pulse slow, tongue 

 moist and red, constipation. After ten to fifteen days the temperature 

 falls to normal by lysis. 



After a lapse of two to seven days the fever is repeated and lasts 

 about ten days. The anaemia is considerable. Convalescence is 

 prolonged. 



The mortality is low. Quinine is useless. 



(5) LOW INTERMITTENT NON-MALARIAL FEVER. 



This is seen in India, China, Siam and Ceylon. 

 The onset is insidious, or it may follow a mild form of influenza. 

 The fever is remittent between 98*4° and 102° F. 

 Chilliness is felt daily between 10 and 12 o'clock. 

 The eosinophilic cells are increased even when worms are absent. 

 The course of the fever is long, some over five months. 

 Nothing else abnormal is found. The patient should be sent to 

 another climate. 



(6) NASHA FEVER. 



It is seen in Bengal from April to August annually. 



It is rarely present in the cold weather. 



The onset is sudden M-ith chill, high fever, hyperemia, swelling of 

 the nasal mucosas, pains in head, neck and shoulders. 



The face is flushed, the pupils contracted. 



There is a papular eruption, some bronchial symptoms. 



The fever is remittent and disappears in three to five days, when 

 the nasal swelling subsides. Relapses may occur between the first and 

 fourth week after the attack. Some may be severe, terminating in 

 delirium, coma and death. 



Give saline purgatives, mild diaphoretics, spray nose with iced 

 water. 



Apply tannin, 10 per cent., and cocaine solution to the nasal 

 mucosae. 



