A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present TimeCreighton, Charles
History
A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present Time
Creighton, Charles
Epidemics -- Great Britain -- History
Its approach was insidious and scarce perceived, with no immoderate
heat or sharp thirst, but producing at length great debility and
languishing, loss of appetite and loathing. Within eight days there
were brain symptoms--heavy vertigo, tingling of the ears, often great
tumult and perturbation of the brain. Instead of phrensy, there might
be deep stupidity or insensibility; children lay sometimes a whole
month without taking any notice of the bystanders, and with an
involuntary flux of their excrements; or there might be frequent
delirium, and constantly absurd and incongruous chimaeras in their
sleep. But in men a fury, and often-times deadly phrensy, did succeed.
If, however, neither stupidity nor great distraction did fall upon
them, swimmings in the head, convulsive movements, with convulsions of
the members and leaping up of the tendons did grievously infest them.
In almost all, there were loose and stinking motions, now yellow, now
thin and serous; vomiting was unusual; the urine deep red. The
sufferers in this prolonged sickness wasted to a skeleton, with no
great heat or evacuations to account for the wasting. Some, at the end
of the disease, had a severe catarrh. In others, with little infection
of the head, soon after the beginning of the fever a cruel cough and a
stinking spittle, with a consumptive disposition, grew upon them, and
seemed to throw them suddenly into a phthisis, from which, however,
they recovered often beyond hope. In some there were swellings of the
glands near the hinder part of the neck, which ripened and broke, and
gave out a thin stinking ictor for a long time. “I have also seen
watery pustules excited in other parts of the body, which passed into
hollow ulcers, and hardly curable. Sometimes little spots and
_petechiales_ appeared here and there.” But none of the spots were
broad and livid, nor were there many malignant spots.
Willis then gives several cases clinically, in his usual manner. The
first is of a strong and lively young man, who was sick above two
months and seemed near death, but began to mend and took six weeks to
recover, sweating every night or every other night of his convalescent
period. The second case, aged twelve, was restored to health in a
month. Numbers three and four were children of a nobleman, who both
died, the convulsive type being strongly marked; one of the two was
examined after death, and found to have several sections of the small
intestine telescoped, but all the abdominal viscera free from
disease[8], the lungs engorged, the vessels of the brain full, much
water in the sub-arachnoid space, and more than half a pint in the
lateral ventricles.
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