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
Only a very few, and such as died suddenly, were exempted from buboes,
but only about one half had carbuncles. In the latter plagues their
proportion was still smaller; but they seldom appeared earlier than in
the months of April or May. In 1742 and 1743, the buboes often appeared
on the first commencement of the distemper, sometimes not till twelve
hours after; in a few instances not till two or three days; but in
1744 they were sometimes the first symptoms of the disease. The buboes
were generally solitary, the inguinal and axillary more frequent than
the parotid. “The inguinal bubo for the most part was double; that is,
two distinct glands swelled in the same groin. The superior, which in
shape somewhat resembled a small cucumber, lay obliquely near the large
vessels of the thigh, lower than the venereal buboes are usually found,
and it was that which commonly came to suppuration; the inferior was
round, and in size much smaller. I once met with a case in which an
axillary bubo divided in like manner into two parts, one of which got
under the pectoral muscle, the other sunk deeper into the armpit: both
grew painful and inflamed, but that in the armpit only suppurated.”
The bubo was at first a small hard tumour, painful but not inflamed
externally. These indurated glands were deeply seated, sometimes
moveable, at others more or less fixed, but always painful to the
touch. Sometimes they would increase to a considerable size in a few
hours, with intense pain, then suddenly subside; and these changes
would take place several times in twenty-four hours. “An exacerbation
of the pestilential symptoms immediately upon the decrease of the
bubo, sometimes prompted me to imagine it owing to the retrocession
of the tumour; but this did not happen so constantly as to make me
think it was so in reality. The buboes, as far as I could learn, never
advanced regularly to maturation till such time as a critical sweat
had carried off the fever. In ten, twelve, or fifteen days, from the
first attack, they commonly suppurated; having been all along attended
with the usual symptoms of inflammatory tumours. But I have known
them sometimes, nay, frequently, disappear soon after the critical
sweat, and discuss completely without any detriment to the patient.
At other times, though grown to a pretty large size, the tumour,
about the height of the disease, would sink and mortify, without any
fatal consequences; for, as soon as the crisis was complete, the
mortification stopped, and the gangrened parts separating gradually,
left a deep ulcer, which healed without difficulty. I met with no
instance of a bubo in which fever did not either precede or follow the
eruption.”
Public-domain text, read in full here on John Shaqi.
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