On the treatment of hyperpyrexia : as illustrated in acute articular rheumatism by means of the external application of cold / by Wilson Fox.

  • Fox, Wilson, 1831-1887.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of hyperpyrexia : as illustrated in acute articular rheumatism by means of the external application of cold / by Wilson Fox. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    the tenth day of treatment and the twenty-seventh of the disease, the temperature varied from 102-3° to 103-7°. He perspired freely. Both knees and the right hand became painful, and the patient complained much of weakness and discomfort. The sputa on this day became clear and frothy; oedema persisted in the hands and feet, and slightly in the eyelids. He continued to improve during the following day, the temperatiue only once reaching 103°, and falling gradually till, on the morning of the 24th, it had reached 100-7°. 24th (twelfth day of treatment, twenty-ninth day of disease). •—Patient felt much better. He had continued to perspire freely, but he had no pain in the limbs. The cardiac dulness had fallen to the upper border of the third cartilage. There was intense friction over the whole cardiac region. The oedema of the eyelids and hands had diminished, but some still persisted in the feet. He had taken the quinine regularly. The tongue was nearly clean, and he ate a boiled sole for dinner. The pulse was 108, and still intensely dichrotous. The pyrexia now gradually diminished; but the tempera- ture only fell to normal, 98-4°, on the morning of the 8th July, the twenty-sixth day after the extreme pyrexia and the forty-third of the disease; and evening, and sometimes morn- ing, exacerbations, varying from 99° to 102°, occurred occa- sionally rmtil July 26th, or the sixty-first day of the disease. The patient, however, got up and walked about on the 19th July. The cardiac condition gradually improved. The apex first became perceptible in the fourth interspace outside the nipple, then fell to the fifth interspace outside the nipple, and on the 28th July, when the patient was ordered to Eastbourne, it re- mained in the fifth interspace, vertically below the nipple. Friction had, however, disappeared on the 13th July, and no cardiac murmur remains. The upper border of the heart’s dulness did not return to its natural level (the fom-th rib) till July 13. The lungs became quite resonant everywhere, but some friction remained at the right base as late as July 5th. The oedema of the hands and feet had disappeared on June 26th, the thirty-first day of the disease. Slight rheumatic pains