Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author — John Shaqi
Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
In one of the cases of inguinal buboes, the whole force of the disease
seemed to be collected into the lymphatic system. The patient walked
about, and had no fever nor pain in any part of his body, except in his
groin. In another case which came under my care, a swelling and pain
extended from the groin along the spermatic cord into one of the
testicles. These glandular swellings were not peculiar to this epidemic.
They occurred in the yellow fever of Jamaica, as described by Dr.
Williams, and always with a happy issue of the disease[26]. A similar
concentration of the contagion of the plague in the lymphatic glands is
taken notice of by Dr. Patrick Russel.
[26] Essay on the Bilious or Yellow Fever, p. 35.
VIII. The _skin_ exhibited many marks of this fever. It was
preternaturally warm in some cases, but it was often preternaturally
cool. In some there was a distressing coldness in the limbs for two or
three days. The yellow colour from which this fever has derived its name,
was not universal. It seldom appeared where purges had been given in
sufficient doses. The yellowness rarely appeared before the third, and
generally about the fifth or seventh day of the fever. Its early
appearance always denoted great danger. It sometimes appeared first on
the neck and breast, instead of the eyes. In one of my patients it
discovered itself first behind one of his ears, and on the crown of his
head, which had been bald for several years. The remissions and
exacerbations of the fever seemed to have an influence upon this colour,
for it appeared and disappeared altogether, or with fainter or deeper
shades of yellow, two or three times in the course of the disease. The
eyes seldom escaped a yellow tinge; and yet I saw a number of cases in
which the disease appeared with uncommon malignity and danger, without
the presence of this symptom.
There was a clay-coloured appearance in the face, in some cases, which
was very different from the yellow colour which has been described. It
occurred in the last stage of the fever, and in no instance did I see a
recovery after it.
There were eruptions of various kinds on the skin, each of which I shall
briefly describe.
1. I met with two cases of an eruption on the skin, resembling that which
occurs in the scarlet fever. Dr. Hume says, pimples often appear on the
pit of the stomach, in the yellow fever of Jamaica. I examined the
external region of the stomach in many of my patients, without
discovering them.
2. I met with one case in which there was an eruption of watery blisters,
which, after bursting, ended in deep, black sores.
3. There was an eruption about the mouth in many people, which ended in
scabs, similar to those which take place in the common bilious fever.
They always afforded a prospect of a favourable issue of the disease.
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