CHAPTER LVII 



THE UNCLASSIFIED FEVERS OF THE 

 TROPICS 



General remarks — -Cobb's pigmentary fever — Robles' fever— Forrest's fever 

 — Naegele's urticarial fever — -Hyperpyrexial fever — Double continued 

 fever — Low intermittent non-malarial fever — High intermittent non- 

 malarial fever — Mossman fever — ^Nasha fever- — -Tientsin fever — ^Whit- 

 more's fever — Woolley's fever with jaundice — The macular fever of 

 Tunisia — Tacamocho fever — Kyoto fever— Ban bach — -Febris palustris 

 remittens — Reiter's disease — Ovoplasmosis — ^Hsemocystozoon fever — ■ 

 Septic bilious fevers— Bungpagga — Robb's heat fever — Non-malarial 

 quartan fever — Anaemic low fever — 'Vesicular fever — Papular fever — 

 Haemorrhagic febrile gastro-enteritis of children — References. 



GENERAL REMARKS. 



Since Crombie in 1898 attempted to arrange tropical fevers much 

 has been done to define these maladies, as may be judged by the 

 preceding chapters. Nevertheless, it is curious to note that the 

 more these fevers are defined and sorted out the greater the number 

 of forms which cannot be classified, notwithstanding a clear definition 

 of enteroidea. 



Hume attempted to arrange these fevers into a typhoid colon 

 group, a dengue group, and an influenza group, but we have placed 

 all that we could recognize as belonging to the first group under 

 enteroidea (Chapter HII., p. 1362), and to the second under dengue 

 fever (Chapter XHIL, p. 1244). We have failed to meet with any 

 which could be classified as influenza-similar, though epidemics 

 of true influenza do occur in the tropics (Chapter LVIH., p. 1497). 

 Under these circumstances we simply describe the various forms 

 known to us without any system or order. 



COBB'S PIGMENTARY FEVER. 



This latter is peculiar, and reads like a mild attack of insolation. 

 It occurs in the hottest months of the year. The onset is sudden, 

 the temperature rising to 103° to 104° F. , with headache, nausea, and 

 vomiting, associated with a peculiar pigmentation of the nose and 

 cheeks. The fever is continued, and lasts eight to ten days. The 

 pigmentation slowly fades some months after the fever is over. 

 It requires further investigation. 



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