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.

    17/94 (page 9)
    at both bases. Tlie cardiac friction continued, but the murmur at the apex had disappeared, and the precordial tenderness had diminished. The bowels had again been opened naturally. She had, in the last twenty-four hours, taken eighteen ounces of brandy, twelve ounces of beef-tea, and seven eggs. The brandy was now ordered to be reduced to twelve ounces in the twenty- four hours. During the next twenty-four hours there was no further application of the cold. The temperature oscillated between 100'5° and 102’7°. The pulse remained about 96, and the respirations 24. On the 16th Jime (the twentieth day of the disease and the sixth of this treatment) the strength was still further improved. The tongue was still furred ; but she had, in addition to twelve ounces of brandy, taken two pints of beef-tea, three pints and a half of milk, and seven eggs in the previous twenty-four hours; and had passed a natiual stool. There was no duluess over the lungs, and less moist rale; but still some weak breath- ing at the right base. The pulse (96) was small, but well sustained, and without dichrotism. The cardiac friction was diminished;'the apex murmur was faintly audible. She had passed seventy-two ounces of urine. The quinine was reduced to one grain every three hours, or eight grains in the twenty- four hours. On June 17th (the twenty-first day of the/disease and the seventh of the treatment) the temperature fell to 98’4°. On the following day it never rose above 99'1°; and after this it remained normal, though falling on the 22nd to 97-9°. On the 18th, though only a week had elapsed since the excessive temperature, the patient sat up in bed, and ate a boiled sole for dinner. The rales in the back entirely disappeared on the 22nd— the twelfth day after the intense pyrexia, and the twenty- sixth day of the disease. The heart’s sounds had now become natural, with the exception of a very faint friction at the base, which disappeared within the following two days. The apex had returned to its natural position, the dulness was at the lower border of the third interspace, and there was no mur- mur. From this time, though the patient remained feeble for