ATYPICAL SUBTERTIAN FEVERS 



1171 



be believed — e.g., in two of our cases the temperature exceeded 

 108° F. These cases have a very serious prognosis, but recoveries 

 are not unknown. 



Fig. 623. — Temperature Chart of a Case of Hyperpyrexial Subtertian 



Malaria. 



Syndromes resembling a Specific Fever. 



The syndromes resembhng a specific fever may be divided into 

 types as follows: — 



1. Typhoid-like type. 



2. Malta-fever-like type. 



3. Typhus-like type. 



4. Cerebro-spinal-like type. 



5. Yellow-fever-like type. 



6. Weil's-disease-like type. 



7. Scarlet-fever-like type. 



Typhoid-like Type. — This fever resembles enteric fever, as may 

 be judged by the temperature chart (Fig. 624). The onset is slow, 

 the patient apathetic, the tongue coated, and headache present, 

 while the temperature is continuous or subcontinuous. The 

 abdomen is slightly tumid, the spleen usually palpable, but not large 

 or hard. The blood usually shows subtertian parasites, and the 

 bacteriological examination for 'enterica' is negative, but quinine 

 here has but slight action on the course of the fever for some time. 

 The complication of typhoid infections in the course of malaria is 

 mentioned on p. 1184. 



Malta-Fever -like Type. — This is very rare, and resembles Malta 

 fever, but malarial parasites can be easily found in the blood; while 



