An Account of the Diseases which were most frequent in the British military hospitals in GermanyMonro, Donald
History
An Account of the Diseases which were most frequent in the British military hospitals in Germany
Monro, Donald
Medicine, Military; Military hospitals; Military hygiene; Seven Years' War, 1756-1763 -- Medical care
Many of the Patients, towards the Height of this Fever, sooner or
later, had a Purging, which seldom proved critical; and some were
seized with the Flux. A gentle _diarrhœa_, such as did not sink the
Patient, was commonly of Service; but when violent, or a Dysentery
came on, the Case was always dangerous; for whatever stopped the Flux
increased the Fever; and, if the Purging or Flux continued, it sunk
the Patient. Such Fluxes we treated in the Manner to be mentioned
afterwards, when we come to the History of the Dysentery.
In this Fever, it was common for Patients to vomit Worms[14], or to
pass them by Stool, or, what was more frequent, to have them come up
into their Throat and Mouth, or sometimes into their Nostrils, while
they were asleep in Bed, and to pull them out with their Fingers. The
same Thing happened to most of the _British_ Soldiers, brought to the
Hospitals for other feverish Disorders as well as this. Dr.
_Pringle_[15] when he mentions Worms being observed in this Fever,
seems to embrace _Lancisius_’s Opinion; and believes that these Worms
are not the Cause of the Fever; but being lodged in the Intestines,
before the Fever comes on, they are annoyed by the Increase of the
Heat, and the Corruption of the Humours, in the Cavity of the
Intestines of Persons labouring under Fevers, especially of the putrid
Kind; and so they begin to move and struggle to get out. This seemed
evidently to be the Case with many of the Patients we had; though in
some the Worms seemed to have given Rise to the Fever, which the bad
State of the Patient’s Humours, or the infected Air of Hospitals,
determined to be of this Kind. In many, the Fever lessened, or went
off entirely, soon after; and they were no more affected with Symptoms
of Worms. But some notwithstanding were subject to frequent Sickness,
Pain of the Stomach, and Uneasiness in the Bowels, and discharged some
Worms from Time to Time. Others had frequent Relapses into Fevers,
which seemed to be owing to the Irritation of these Insects.
[14] Some Men passed only one Worm; others, two or three;
some, six or seven; and one Man, of the Guards, in _January_
1763, after passing three by Stools in the Course of a Fever
of this Kind, discharged fourteen more upon taking a Dose of
Rhubarb and Calomel after the Fever was over.
[15] _Observations on the Diseases of the Army_, part iii.
chap. iv. Note to p. 213. third Edition.
It is no Wonder that Worms of the round Kind should be productive of
troublesome Symptoms, and occasion these Relapses; since we know that
they have sometimes perforated the Intestines, and been found in the
Cavity of the Abdomen[16].
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