North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
_Analogy to Plague._--On comparing the symptoms of the yellow fever of
this country with those of plague, as detailed so minutely and, I
believe, accurately by authors, and especially by the physicians who
accompanied Bonaparte to Egypt, I have been led to regard these diseases
as bearing a closer analogy to each other than has hitherto been
admitted. I do not pretend to assert that they are the same disease, but
only that they are so nearly allied, as on some occasion, to lead even
an experienced observer into an error of diagnosis. The great difference
between them consists in the frequency of the affection of the lymphatic
glands in the plague, and its comparative rareness in yellow fever; and
in the greater predominance of gastric symptoms in the latter.
Nevertheless, I have had, on many occasions, during our different
epidemics, opportunities of noticing buboes, situated in the same parts
as those mentioned by writers on the plague, running the same course,
and curable by the same means. Carbuncles are frequently seen in both
diseases, though not so frequently in yellow fever as in the plague.
Both diseases present what are called the walking cases. Patients in
both, though more frequently in yellow fever, retain their muscular
strength as well as their intellectual faculties. So far as we are
informed, the mortality in both is pretty nearly the same, and the
treatment similar.
_Contagion of Yellow Fever._--The question of the contagion or
non-contagion of yellow fever has so long occupied the attention of the
profession and been discussed so extensively, that I deem it unnecessary
to devote much space to it here. Nevertheless, as I have had frequent
opportunities of noticing the disease under all circumstances; in all
parts of the city, and in the country; among the wealthy and the poor, I
may without much impropriety offer, in a few words, the result of my
observations and reflections on this head. I must unhesitatingly
declare, that, establishing my opinion on what I have seen, I am led to
the conviction, that the yellow fever is not a contagious disease; that
it never has been carried hither in the way mentioned by contagionists;
and that it has invariably proved an infectious disease, using this word
to express a malady arising from a local source of contamination, other
than a living body. It is plain, that this view of the subject does not
exclude the possibility of a vessel carrying the disease to this or any
other port; but, in that case, the vessel itself or its cargo, must be
the source of infection, and not the individuals on board. And this may
take place, when the port from whence the vessel sailed is free from the
disease. That such has been the case, there cannot be any doubt; and
that the idea, predicated on it, of the contagiousness of the fever is
erroneous, I have not the least hesitation in believing.
Public-domain text, read in full here on John Shaqi.
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