Essentials of diagnosis : Arranged in the form of questions and answers prepared especially for students of medicine / by Solomon Solis-Cohen and Augustus A. Eshner.

  • Solis-Cohen, Solomon, 1857-1948.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of diagnosis : Arranged in the form of questions and answers prepared especially for students of medicine / by Solomon Solis-Cohen and Augustus A. Eshner. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Relapsing Fever. What are the distinguishing features of relapsing fever? Belapsing fever is rare in other tlian certain tropical countries. It is a specific, essential fever, of intermittent type, and is de- pendent upon the presence of a specific organism—the spirocheta Obermeierii—in the blood. (Fig. 6.) Fig. 6. Spirochetse of relapsing fever. (V. Jaksch.) The growth and development of the parasite give rise to the periodic paroxysms that characterize the disease and give it its name. After a period of incubation, varying from several hours to two weeks, the disease sets in suddenly with a chill, followed by fever, with decided elevation of temperature, mus- cular pains, vertigo, headache, nausea and vomiting. The spleen is enlarged. Often there is jaundice. In the course of from five to seven days the attack abates with the suddenness with which it set in, the temperature fall- ing to the normal and profuse diaphoresis occurring. For about a week the patient is free from symptoms. At the end of this time, the paroxysm is repeated, to again subside; and this may happen a number of times. Convalescence is tardy and protracted. During the paroxysms, spirochetse in large numbers may be found in the blood. They are not to be found during; the intermissions.