1472 THE UNCLASSIFIED FEVERS OF THE TROPICS 



Prognosis.— This is good. 



Treatment. — ^The treatment is symptomatic, small doses of aspirin 

 or pyramidon being given to relieve the pains, and calamine lotion to 

 alleviate the rash. 



HEMORRHAGIC FEBRILE GASTRO-ENTERITIS OF 

 CHILDREN. 



Synonym. — Fievre a Vomissements noirs des Enfants. 



Definition, — An endemic fever limited to ' Grande terre ' in 

 Guadeloupe, and characterized by black vomit and by occurring 

 only in children. 



Remarks. — ^This disease, which closely resembles yellow fever, 

 was first described by Dr. Guesde in 1891. 



Climatology. — It is only known in ' Grande terre ' in Guadeloupe. 



Symptomatology. — ^The disease begins suddenly with an attack 

 of vomiting, and is followed by an attack of febrile bilious vomiting. 

 The child then becomes very ill, with remittent fever, slight icterus, 

 obstinate constipation, and later black vomit. After lasting from 

 two to five days the symptoms may improve, sleep returns, the 

 fever disappears, and the child gradually recovers; on the other 

 hand, the symptoms may become worse, and the child die. Conva- 

 lescence is prolonged. 



Diagnosis. — ^The disease seems to us to be indistinguishable from 

 yellow fever. 



Prognosis. — ^The prognosis is always grave. 



Treatment. — ^This is symptomatic. 



REFERENCES. 

 Unclassified Fevers. 



BiRT (1908). Journal Royal Army Medical Corps. 



Castellani (1904-12) Ceylon Medical Reports; (1907) Journal of Hygiene, 

 vol. vii.; and Lancet; (191 7) Journal of Tropical Medicine. (Tropical 

 Diseases in the Balkans.) 



Cobb (1906). Indian Medical Gazette, p. 135. 



Crombie (1898). Unclassified Fevers of Hot Climates. Journal of Tropical 



Medicine, p. 128. 

 Fox, A. C. (191 2). Journal Royal Army Medical Corps. 



Grall and Clarac (191 1). Traite Pratique de Pathologic Exotique Pox, 



vol. ii. Fievres Climatiques. Paris. 

 Le Dantec (191 i). Pathologic Exotique, third edition. Paris. 

 Manson (1918). Tropical Diseases. 

 McCarrison (1906). Indian Medical Gazette, p. 7. 

 Montel (19 1 8). Bull. Soc. Path. Exot. 



Nagele (1912). Archiv f. Schiffs- u. Tropen-Krankhygiene. 

 Rogers (1908). Fevers of the Tropics. Oxford. 

 Rousseau (1902). Archiv. de Med. Navale, Ixxvii. 129. 

 Thorpe (1903). Journal of Tropical Medicine, p. 25. 



