An Account of the Diseases which were most frequent in the British military hospitals in Germany — John Shaqi
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
When the Petechiæ appeared, they came out on the fourth, fifth, sixth,
or seventh Day; seldom after the eleventh or twelfth[3]. They appeared
mostly on the Breast, Back, Arms, and Legs, and sometimes, tho’
rarely, on the Face. They had exactly the Appearance described by Dr.
_Pringle_, either like small distinct Spots of a reddish Colour, or
the Skin looked sometimes as if it had been marbled, or variegated as
in the Measles, but of a Colour more dull and lured. As they began to
disappear, they inclined to a dun or brown Colour, and looked like so
many dirty Spots. I never saw them rise above the Skin; nor did I once
see any miliary Eruptions in this Fever; which agreed exactly with
what Dr. _Pringle_ had observed in the former War, and in the
Beginning of this; however, we ought not to conclude from thence that
miliary Eruptions are never observed in Fevers of this kind; for Dr.
_Huxham_[4], Dr. _Hasenohrl_[5] and Dr. _Lind_[6], besides many other
good Practitioners, mention their having seen them.
[3] _Ramazini_, in his Treatise _De Constitutionibus
annorum_, 1692, 3, 4, _in Mutinensi civitate_, Sect. 19.
mentions the Petechial Fever which had been frequent the
three foregoing Years; in which the Petechiæ appeared
commonly on the fourth or seventh Days, and almost all those
died in whom they appeared on the first Day. These Spots came
out first on the Neck, the Back and Breast; and it was
observed that none escaped unless these Spots extended
themselves as far as the Nails of the Toes, vanishing by
Degrees on the upper Parts. He tells us likewise, that this
Fever was attended with an Inflammation of the Throat, which,
about the Height of this Disorder, terminated in a white
ulcerous Crust. This sore Throat should seem to be the same
which we now call _the malignant ulcerous sore Throat_, which
I never once saw while I was with the Troops in _Germany_.
[4] Dr. _Huxham_, in his _Essay on Fevers_, ch. viii. p. 97,
tells us, that sometimes, about the eleventh or twelfth Day,
on the coming on of profuse Sweats, the Petechiæ disappear,
and vast Quantities of small white miliary pustules break
out.
[5] Dr. _Hasenohrl_, in his Treatise _De Febre Petechiali_,
cap. i. p. 12. relates a very particular Case, where the
Petechiæ appeared on the fourth, and the white miliary
Eruptions on the seventeenth Day of the Fever.
[6] Dr. _Lind_, in his _second Paper on Fevers_, p. 105.
mentions Spots which rise above the Surface of the Skin, and
are of the miliary kind, as common in contagious Fevers, as
he observed among the _French_ Prisoners in _Winchester_
Castle, in the Beginning of the Year 1761.
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