A Treatise on the Plague and Yellow Fever: With an Appendix, containing histories of the plague at Athens in the time of the Peloponnesian War; at Constantinople in the time of Justinian; at London in 1665; at Marseilles in 1720Tytler, James
History
A Treatise on the Plague and Yellow Fever: With an Appendix, containing histories of the plague at Athens in the time of the Peloponnesian War; at Constantinople in the time of Justinian; at London in 1665; at Marseilles in 1720
Tytler, James
Plague -- Early works to 1800; Yellow fever -- Early works to 1800
The fourth class was the most numerous of all. Its distinctive marks
were, “the continuance of the inflammatory or febrile symptoms with
less interruption than in the other, a pulse more constantly sustained,
or soon recovering itself when hurried in the exacerbations; the
length and vigour of the exacerbations decreasing in the advance of
the disease; and, above all, the prevalent tendency to a favourable
discharge by the skin, with the critical sweats on the 3d, 5th, or
subsequent days.... Vomiting was a concomitant in about one fourth of
the sick. The fever, for the most part, was very moderate the first
night, very rarely accompanied with delirium, and almost never with the
comatous disposition.... The buboes and carbuncles commonly made their
appearance the first day; but it was not unusual to see a successive
eruption of these in the course of the disease.... The morning sweat,
on the third day, in some cases proved completely critical, but more
commonly produced only a remission so favourable as to encourage the
expectation of a more favourable crisis on the fifth; but, where the
patient neither sweat on the third, nor a sensible remission took place
on that day, some degree of danger was always to be apprehended....
After the sweat on the fifth, the subsequent exacerbations proved
slighter and slighter, and the buboes for the most part advancing
favourably, little or no fever was left remaining after the beginning
of the second week, except perhaps symptomatic heats occasioned by the
eruptions.” In this class the patients sometimes appeared only to have
a slight attack, and yet at last were seized with mortal symptoms,
while others who deemed to be much worse at first yet happily recovered
and did well, In general the severe pestilential symptoms did not come
on till a considerable time after the attack.
To the fifth class our author refers all cases of slight infection,
wherein the more formidable symptoms of pestilence never concurred,
and _all_ the infected recovered. “The access here was often attended
with so little apparent disorder, that the eruptions gave the first
alarm; and the fever which came on afterwards was frequently so slight
as not to confine the sick to the house. Others found themselves
indisposed for two or three days, but were not sensible of any
febrile heat whatever. But in this class the disease did not always
invade thus insensibly. The febrile symptoms, especially the first
three days, sometimes run pretty high; and the fever afterward, in
nocturnal exacerbations particularly, run out to the end of the week
or longer: but, as there was no concurrence of alarming symptoms, and
the exacerbations, terminating for the most part in sweats, gradually
diminished in force after the third or fourth night, it was not
difficult in the worst cases to foretel the event at that period, nor
necessary in others to defer the decision so long.
Public-domain text, read in full here on John Shaqi.
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