Second Attacks of Typhoid Fever in Adults, Two Cases
Year: 1894
Type: article
Abstract: slightly puffy and translucent lids ; no swelling of the lips.The skin generally was harsh, especially the hands and feet.The hair dry ; supraclavicular pads marked; temperature 96.5°; pulse 60; heart sounds weak, otherwise not remarkable ; lungs and abdomen clear ; knee-jerks present.Blood negative except for diminished haemoglobin.No enlarged glands ; no oedema of the legs ; feet objectively very cold.Novem- ber 17th, the daily amount of urine was about 40 ounces ; specific gravity 1,015 ; au accident prevented the estimation of urea.November 24th, specific grav- ity 1,020.November 29th, specific gravity 1,025; albumen slightest possible trace ; a few casts.Decem- ber 6th, specific gravity 1,027 ; albumen slightest possible trace ; an occasional hyaline cast.The pa- tient reports a distinct increase in the flow of urine, but the amount has not again been measured.One grain of the thyroid extract twice daily was ordered, and November 29th four grains a day.November 29th, temperature 97.5°; less watering at eyes ; sweat some yesterday after exertion.Some pain aud ten- derness on right elbow.Increased thyroid extract to six grains a day.December 6th, pulse 72 ; tempera- ture 97.4°; skin about the same; color better; less sensitive to cold ; eyes distinctly less watery ; is less hoarse than for six months, and sang last Sunday for the first time duriug that period.The duration of treatment in this case has been very short; but its re- sults confirm the diagnosis.I have learned to push the remedy cautiously.Cases II, III and IV are unquestionably cases of myxoedema, and can be added to the rapidly lengthening list of cures.Dr. Kinnicutt 8 collected 49 cases up to May 1st, treated by thyroid extract ; and Dr. R. C. Cabot has kindly collected 68 cases published since May 1st.As before stated, two showed no gaiu under the treatment.Two of Dr. Murray's4 died
Source: New England Journal of Medicine
Author: A. L. MASON
Language: English
Subfield: Food Science
Domain: Life Sciences
Open Access status: green
OpenAlex ID: W2324342721