Nothing can be more striking than the cases recorded by Pringle, and
which daily occurred to him of the production of fever, exquisitely
typhoid, (according to the language of that day, jail and hospital
fever) and of the sudden transition of intermittent and remittent into
the continued and typhoid type, from the presence of a poison clearly
and certainly of animal origin. Whenever wounded soldiers, with
malignant sores, or mortified limbs, were crowded together, or whenever
only a few of such diseased persons were placed in a room with the sick
from other diseases, with those labouring under intermittent and
remittent, for example, a severe and mortal typhus immediately arose;
nay, whenever men, previously in a state of sound health, were too much
crowded together for any considerable time, typhus (jail or hospital
fever) was sure to be produced. The instances of such occurrences that
are detailed, are too numerous to be cited, but they are so clearly
stated, and so striking, that they well deserve to be consulted by
whoever is desirous of clearly tracing the operation of this great cause
of fever.
But by far the most potent febrile poison, derived from an animal
origin, is that which is formed by exhalations given off from the living
bodies of those who are affected with fever, especially when such
exhalations are pent up in a close and confined apartment. The room of a
fever-patient, in a small and heated apartment in London, with no
perflation of fresh air, is perfectly analogous to a stagnant pool in
Ethiopia, full of the bodies of dead locusts. The poison generated in
both cases is the same; the difference is merely in the degree of its
potency. Nature, with her burning sun, her stilled and pent-up wind, her
stagnant and teeming marsh, manufactures plague on a large and fearful
scale: poverty in her hut, covered with her rags, surrounded with her
filth, striving with all her might, to keep out the pure air, and to
increase the heat, imitates nature but too successfully; the process and
the product are the same, the only difference is in the magnitude of the
result. Penury and ignorance can thus at any time, and in any place,
create a mortal plague. And of this no one has ever doubted. Of the
power of the living body, even when in sound health, much more when in
disease, and above all, when that disease is fever, to produce a poison
capable of generating fever, no one disputes, and the fact has never
been called in question. Thus far the agreement among all medical men,
of all sects, and of all ages, is perfect.
But it happens that there is another form of animal matter capable of
producing fever: namely, a matter secreted by the living body,
constituting not only a poison, but a peculiar and specific poison. This
specific poison produces not merely fever, but fever with a specific
train of symptoms. In the acknowledgment of this fact, also, the
agreement among all medical men is equally perfect.
Public-domain text, read in full here on John Shaqi.
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