74 
MUSCULAR SYSTEM. 
See also Pains, page 76. 
Gwinn (1902) reports rigidity of muscles of neck and back in one case. Several 
authors refer to the soreness and stiffness of the muscles. 
Anderson (1903c, p. 23) says that the soreness of the muscles and bones causes the 
patient to change position often; muscular soreness is often very severe even in mild 
cases and lasts until recovery. 
Wilson and Chowning (1903a, p. 47) report some tenderness on pressure along the 
spine (case 107), especially in the dorsal region, though this may have been due in 
part to the general soreness of the muscles. 
In case 11 (1904) the muscles were well developed and of ^ood color. 
Comparison. — In Texas fever the lean meat may be of a brownish mahogany color 
and possess a peculiar sickening odor, or it may be normal in color or perhaps a 
trifle paler. In carceag the muscles are reported as pale and flabby. 
EMACIATION. 
See also Fat, page 52. 
Emaciation has not been reported in connection with “spotted 
fever,” but it seems to be quite a prominent symptom in soine piro- 
plasmatic diseases. 
Thus, for Texas fever. Smith and Kilborne report that there may be extreme 
emaciation during the period following the fever. For canine piroplasmosis, Nuttall 
^1904, pp. 231, 326) reports that there is a loss of weight which is greatly increased 
during the final stages, and appears to be more marked in long-continued cases; 
there is great emaciation. * 
NERVOUS SYSTEM. 
See also Pains, page 76; Photophobia, page 52; Extremities, page 55. 
Idaho . — All cases are very nervous, sleepless, and throughout the disease suffer 
intensely; there is a hyperemic condition of the nervous system, as is shown by the 
general neuralgic pains; in my opinion it is a hybrid between typhoid fever and 
cerebrospinal fever, the disease having many symptoms common to both (Fairchild, 
1896). Springer (1896, p. 62) says that the patients are usually very nervous and 
irritable. Sweet (1896) reports that the nervous system is sometimes involved; in 
such cases there is marked hyperpyrexia. 
Montana . — McCullough (1902, p. 227) reports indifference to surroundings. 
According to Wilson and Chowning (1902a, pp. 132-133; 1903a, p. 63; 1904a, pp. 38), 
aside from the headache at the beginning, many patients show no nervous symptoms 
until just prior to death; a low muttering delirium, as in typhoid, is present in soine 
severe cases, the patient being but partly rational; in the severe stages, picking 
at mouth, ears, and bed clothing is present; except at the onset the disease is remark- 
able for its freedom from pain. 
Gates (1903, p. 50) reports for one case that there seemed to be a profound impres- 
sion on the nervous system from the very first symptoms of the disease; muttering 
delirium and a semicomatose condition, from which the patient could be aroused 
only with much effort, w^ere early and prominent symptoms. Later he (1905, p. 113) 
states in regard to his case 16 (1904) that the intensity with which the disease 
attacked the nervous system was marked from the onset; a low muttering delirium 
came on during the first week; during the second week the patient was in a heavy! 
stupor from which she could be aroused with difficulty, but when aroused she would 
answer questions correctl)^ and then, perhaps, talk at random; the condition of the 
mind approached normal during the third week. 
