Typhoid fever and typhus fever . CO 4^ CO CO cn CO CO c» CO o 4=- ro 4^ CO 4^ in T** ^r 4r a> X- the almost intermittent forms of fever (Figs. 38 and 39). The periodof onset, entirely like that of the primary attack, is usually charac-terized by step-like or characteristic steep curves (Figs. 36 and 37). 352 TYPHOID FEVER. Termination of the relapse by critical decline is relatively rare. Agradnal; entirely uncharacteristic decline, with an irregular, often pro-tracted course, or subsidence with marked intermissions, is more fre-quent ; this occurs again especially in cases in which also th
Typhoid fever and typhus fever . CO 4^ CO CO cn CO CO c» CO o 4=- ro 4^ CO 4^ in T** ^r 4r a> X- the almost intermittent forms of fever (Figs. 38 and 39). The periodof onset, entirely like that of the primary attack, is usually charac-terized by step-like or characteristic steep curves (Figs. 36 and 37). 352 TYPHOID FEVER. Termination of the relapse by critical decline is relatively rare. Agradnal; entirely uncharacteristic decline, with an irregular, often pro-tracted course, or subsidence with marked intermissions, is more fre-quent ; this occurs again especially in cases in which also the precedingstage exhibited a similar character of curve (Fig. 39). The pulse is generally more frequent in the relapse than in theprimary attack. In women and children, and in men debilitated bythe antecedent attack, the number of pulse-beats is even likely to beunusually high. A pulse of 120 in the evening is then not a rare occur-rence, and, if the condition does not persist for too long a time, it is not Day of the Fig. 39. even of especially serious import. In addition to the increased frequency,the pulse during the relapse is also characterized by great on slight physical or mental exertion it may be beyond compu-tation, and in adults may reach 130 or 140. This instability of thepulse makes itself appreciable, as has been seen, as early as the periodof incubation of the relapse. An instructive illustration of the char-acter of the pulse in this period and during the febrile period is affordedby Fig. 35. Dicrotism of the pulse is definitely not so frequently observed duringthe relapse as during the primary attack. It quite generally fails toappear even in those cases in which it was previously exceedingly well RECRUDESCENCES AND RELAPSES. 353 marked. When the manifestation occurs at all, it takes place in thecourse of the severe, protracted relapse having an especially prolongedfastigium. In such cases symptoms of cardiac weakness also becomeappa
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecttyphoid, bookyear1901
