An account of the plague which raged at Moscow, in 1771Mertens, Charles de
History
An account of the plague which raged at Moscow, in 1771
Mertens, Charles de
Plague -- Russia (Federation) -- Moscow -- Early works to 1800
1. In _the period of infection_ (which is commonly the forerunner of the
other forms of the plague) the contagion, less active and virulent,
keeps lurking in the body, and produces the following symptoms, viz.
sharp, flying pains in the glandular parts (such as the armpit and
groins) and in the muscles of the neck and breast; ardor urinæ;
drowsiness; an increased secretion of the sebaceous humour, so that the
skin is in many parts, and more especially in the hands and face, much
more unctuous and glossy than usual; the belly is costive, but when
moved, there comes away a great quantity of pulpy slimy fæces; the
patients complain of a heaviness of the body (some compare their limbs
to a mass of lead), great lassitude and faintings. A swelling, but
without much pain, of some gland (in the groin or armpit) together with
dark-red or brown spots, denote a higher degree of infection: and a bad
taste in the mouth, a viscidity of the saliva, loss of appetite,
whiteness and foulness of the tongue, and head-ach, show that the
patient is going to be attacked with the plague under one or other of
the following types. The above-mentioned symptoms, which continue for a
longer or shorter time (in some instances for several days or even
weeks) are not accompanied with fever.
2. After the period of infection above described has continued for some
time without yielding to medicine, it generally ends in _the slow type
of the plague_, which is characterized by the following symptoms; viz.
shiverings, followed by a moderate degree of heat[42], a febrile[43],
unequal, for the most part weak, and often intermitting pulse; a
constant dull pain in the head (rather, according to the expression of
some patients, a heaviness, as if the head was full of lead); urine pale
and turbid, but without sediment; tongue foul and moist; very little
thirst; depression of spirits; belly costive during the first three or
four days, with inflation of the hypochondria and borborygmi, but the
abdomen feels soft on pressure; there is frequent nausea and vomiting of
a slimy greenish-yellow faburra[44]; petechiæ and other eruptions[45]
make their appearance, in some sooner in others later; but in some they
are altogether wanting. The rudiments or germs of buboes and carbuncles,
which were forming during the period of infection, now gradually
increase in size, but without being accompanied with violent pain; and
new ones arise in other places; which, if they suppurate on the fifth,
sixth, or seventh day, save the life of the patient: on the other hand,
if no suppuration takes place, and great debility, diarrhoea, and
delirium come on, the disease terminates fatally, not, however, in some
cases till after the fourteenth day.
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