A report founded on the cases of typhoid fever, or the common continued fever of New-England : which occured in the Massachusetts General Hospital from the opening of that institution in September, 1821 to the end of 1835 : communicated to the Massachusetts Medical Society, in June, 1838 / by James Jackson.

  • Jackson, James, 1777-1867.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: A report founded on the cases of typhoid fever, or the common continued fever of New-England : which occured in the Massachusetts General Hospital from the opening of that institution in September, 1821 to the end of 1835 : communicated to the Massachusetts Medical Society, in June, 1838 / by James Jackson. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    lines of distinction, except those dependent on their type. Nature has drawn a broad line of distinction between intermittent and continued fevers. In re- gard to remittents, there is not so clear a ground for distinction. These have appeared to me to belong to one or the other of the kinds before mentioned; some being intermittents accompanied by secondary, local affections, which prevented perfect intermis- sions. These are the formidable remittents of warm climates. Others have seemed to me to be continued fevers, in which the exacerbations were more thor- oughly marked than in common cases. All other varieties of idiopathic fever seemed to me to be de- pendent on the following circumstances, viz., first, the disproportion in the symptoms, which appertain to the disease, and even the entire absence of some of them in many instances. Thus, in some cases the cerebral symptoms, or those belonging to the an- imal system, and the organic, or those belonging to the organic system, are in a certain due proportion; those of both descriptions being duly developed, and those of one, or the other kind, predominating at different stages of the disease. In other cases, the cerebral symptoms are almost entirely wanting throughout the disease ; while in some they predom- inate so much, as to throw into the shade, or actual- ly to mask, all other symptoms. Second, the addi- tion of secondary and local affections, no one of which certainly occurs in the greater number of cases of continued fever, explains much of the diver- sity in cases of this disease.