Scurvy occurred next in frequency among the nations neighboring Russia.
Speyer tells us that a German sanitary commission was sent to Bulgaria
largely with the object of investigating scurvy in that country. The
excellent monograph on the pathology of scurvy just written by Aschoff
and Koch was founded on an experience in Roumania among Turkish, German
and Austrian soldiers. Added to its other woes the Servian army was
visited by scurvy. Wiltshire gives us a description of this disease
based on an observation of 3000 cases in the first half of the year
1917. In regard to scurvy in this part of the world, Morawitz writes
that when he reached Roumania he was surprised to find scurvy the most
prevalent disease in the army, and that since the spring of 1917 it was
widely disseminated among the German troops. Lobmeyer writes of scurvy
among the Turkish troops, and Disqué reports 500 cases among prisoners
captured in Turkestan.
Along the Western front very few cases are described. There is an
account by Korbsch of 51 cases in this area in 1915. Schreiber describes
30 cases among the German prisoners of war captured in the beginning of
1917, which were diagnosed as purpuric rheumatism. Arneth recounts that
sporadic cases of scurvy occurred among the German troops, especially
among the older soldiers, and that in many cases this was combined with
the hunger edema. He attributes the scurvy to a dependence on dehydrated
vegetables in the ration.
From all these accounts it is evident that scurvy played an important
rôle in the general nutrition of the troops on the Eastern front.
Probably it was of the latent variety, which is exceedingly difficult to
diagnose, but which increases the susceptibility to infection, and
intensifies the severity of all medical or surgical diseases. Von
Niedner takes this point of view, stating that although scurvy had been
largely prevented in this war, the obscure rudimentary type had not been
eradicated. He remarks upon a fact, noted in our Civil War and other
wars, that under these conditions eruptions assume a hemorrhagic
character in typhoid fever, cerebrospinal fever, rheumatism and other
infections. Pick made a similar observation at a medical meeting in
Vienna in reference to scurvy in the Austrian army, drawing attention to
the hemorrhagic diathesis existing among the troops and expressing the
opinion that scurvy was occurring in this war as in previous wars.
Public-domain text, read in full here on John Shaqi.
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