FEVER 



469 



FEVER 





traduction of germs and septic material into the sys- 

 tem, the poisonous agents finding entrance through 

 the wounds and lacerations of the genital tract conse- 

 quent upon parturition. In some cases these wounds 

 take on an unhealthy condition with the formation 

 over them of a whitish or grayish pellicle ; they then 

 form the so-called diphtheric ulcers, although they 

 bear no relation to true diphtheria. In other cases 

 there may start up a gangrenous condition spreading 

 rapidly to the adjoining tissues. Virchow calls this 

 variety Erysipelas Mallgnum Internum, a. v. It may- 

 assume a number of other forms, all of which are of a 

 greater or lesser degree of gravity. F., Puking. 

 Synonym of Milk-sickness. F., Pulmonic. A syno- 

 nym of Croupous Pneumonia. F., Putrid. Synonym 

 of F., Typhus. F., Pyogenic. Synonym of Strangles. 

 F., Pythogenic. Synonym of F. , Typhoid. F., 

 Quinin, fever produced by large doses of quinin ; it 

 is attended with hematuria, dysuria, dyspnea, threat- 

 ened collapse. F., Red. Synonym of Dengue. F., 

 Relapsing, Famine Fever ; an acute specific febrile 

 disease characterized by a short paroxysm of fever, 

 ending in crisis, followed by a well-marked remission, 

 and that by a relapse on or about the fourteenth day. 

 The fever is high and the patient restless ; there is no 

 characteristic eruption ; but the patient emits a peculiar 

 musty odor like that of burning straw. Epistaxis, often 

 profuse, is present. A crisis is usual on the seventh day 

 and is attended usually by some critical discharge. In 

 seven days, or a little sooner, the relapse occurs, last- 

 ing from a few hours to seven days or more. During 

 convalescence there may be a flaky desquamation. 

 There is always in this disease marked enlargement of 

 the spleen ; the liver also is enlarged, as well as the kid- 

 neys. The disease is due to the presence in the blood of a 

 specific spirillum, which is only seen during the parox- 

 ysms. F., Remittent, a paroxysmal fever with exacer- 

 bations and remissions, but not intermissions ; usu- 

 ally applied specifically to remittent malarial fever. 

 F., Rheumatic. See Rheumatism. F., Rock. Syn- 

 onym of F. , Mediterranean. F., Scarlet. See 

 Scarlatina. F., Septic, one due to the admission of 

 septic matter into the system. F., Seven-day. Syn- 

 onym of F, Relapsing. F., Seventeen-day. Syn- 

 onym of F., Relapsing. F., Ship. Synonym of F., 

 Typhus. F., Shoddy, an illness occurring among 

 shoddy-grinders. The symptoms are headache, 

 malaise, dryness of the fauces, and difficulty of breath- 

 ing. The acute symptoms subside in six or eight 

 hours, but cough and expectoration remain as a 

 chronic condition. F., Siam. Synonym of F , 

 Yellow. F., Simple Continued, a continued, non- 

 contagious fever, varying in duration from one to 

 twelve days, and usually ending in recovery, F., Solar. 

 Synonym of Dengue. F.-sore, a colloquial name for 

 necrosis of the tibia; also a fever-blister. F., Spiril- 

 lum. Synonym of F. , Relapsing. F., Splenic. 

 Synonym of Anthrax. See Pustula maligna. F., 

 Sthenic, fever characterized by abnormal increase of 

 the cardiac and vital activities. F., Stiff-necked. 

 Synonym of Dengue. F., Sudoral. Synonym of F. , 

 Mediterranean. F., Summer, hay-fever. F., Sun. 

 Synonym of Insolation. F., Three-day. Synonym 

 of Dengue. F., Traumatic, that following trau- 

 matism, surgical or accidental. F.-twig. See 

 Climbing Staff-tree and Celastrus. F., Typhoid, 

 Enteric Fever; an acute continued fever due to a 

 specific virus, the bacillus typhosis, and characterized 

 by peculiar intestinal lesions, splenic enlargement, 

 maculse on the skin (rose spots), headache, delirium, 

 diarrhea, prostration, etc. The morbid changes are 

 chiefly in the lower part of the ileum, occasionally 



in the upper part of the colon, and consist in a 

 necrotic inflammatory infiltration of the follicular 

 structures and neighboring parts, commonly called 

 " Peyer's patches,'' with a catarrhal inflammation of 

 the rest of the intestinal mucous membrane. The 

 stools are the characteristic liquid ocher-colored pas- 

 sages, resembling pea-soup. Epistaxis is frequently an 

 early symptom. The duration of the disease is usually 

 about four weeks. There may be, however, an abor- 

 tive form of the disease ending at from the eighth to the 

 fourteenth day. The afebrile form, which is rare, may 

 have a normal or even subnormal temperature through- 

 out the entire course. Perforation of the bowel, 

 peritonitis, hemorrhage, and tympanites are some of 

 the complications of the disease. Relapses occur in 

 a certain proportion of the cases. The poison of 

 typhoid fever usually enters the system through the 

 drinking-water, or milk, or by inhaling effluvia from 

 drains. Direct contagion from the sick to the healthy 

 plays but a small part in the dissemination of typhoid 

 fever. See Table of Exanthemata. F., Typhoid, 

 Ambulatory, the latent form, with illy-defined symp- 

 toms, so that the patient scarcely feels ill enough to go 

 to bed. The prognosis in this form of the disease is 

 often grave. F., Typhoid, Atypical. Synonym of 

 F., Mediterranean. F., Typhoid, Canine, a peculiar 

 form of typhoid fever occurring only among patients 

 who have been previously subject to malaria. The 

 period of invasion is from one to three days, during 

 which the patient complains of general discomfort and 

 constipation. This is followed by a rapid develop- 

 ment of the fever, the temperature almost immediately 

 reaching 104 F. After the third day diarrhea, epis- 

 taxis, and intestinal hemorrhage occur. The fever sub- 

 sides at the end of the first week, though the diarrhea 

 and enlargement of the spleen continue. The pulse 

 is always slow. F., Typhoid, Intermittent. Syno- 

 nym of F, Mediterranean. F., Typho-malarial, a 

 malarial fever with typhoid symptoms. F., Typhus, 

 an acute, specific, epidemic, contagious, exanthematous 

 fever, probably due to a specific infecting germ, and 

 characterized by a peculiar petechial eruption, depres- 

 sion of the vital powers, profound cerebral manifesta- 

 tions, and absence of any discoverable lesion. It ter- 

 minates by crisis on or about the fourteenth day, or by 

 death from exhaustion or coma. See Exanthemata, 

 Table of. F., Typhus, Abdominal. Synonym of 

 F., Typhoid. F., Typhus, Walking, typhus fever 

 in which the vital powers are not greatly reduced, so 

 that the patient does not go to bed. F., Urinary, 

 the febrile disturbance that follows the use of the 

 catheter or bougie, or other operation upon the 

 urinary organs, or any distinct impression made upon 

 the urethra or bladder by some other means than 

 these. Urinary fever varies in severity, from a slight 

 chill and moderate rise of temperature to a well- 

 marked chill with considerable rise of temperature. 

 F., Vitular. See Collapse, Parturient. F., Vitulary. 

 See Collapse, Parturient. F.-wort. See Triosteum. 

 F., Wound. Synonym of F., Traumatic. F., 

 Yellow, an acute, specific, infectious, contagious, 

 paroxysmal, malignant fever, occurring mainly in sub- 

 tropical regions, and characterized by three stages 

 — the febrile, the remission, and the collapse. The 

 poison of the disease is destroyed by frost. The 

 period of incubation varies from one to fourteen 

 days. The onset is sudden, the temperature high. 

 There is a tendency to hemorrhage from the nose, 

 mouth, vagina, kidneys, or stomach; the skin and 

 conjunctivae acquire a yellow tint or even a deep olive 

 or mahogany color. There may be vomiting of 

 altered blood. In fatal cases there is found a granular 



