. A practical treatise on medical diagnosis for students and physicians . ll reaching or goingbelow normal. The difference between morning and evening temperaturemay not be more than a degree. In the acute form it is high and con-tinuous, and soon may be attended by the typhoid state. In the morechronic cases it may be intermittent at first, then continuous, and finallyintermittent again. In the later stages the intermitting fever is due to a, FEVER IN PULMONARY TUBERCULOSA. 899 mixed infection, or saprsemia, due to the purulent contents (staphylococcusand streptococcus infection) of the lung
. A practical treatise on medical diagnosis for students and physicians . ll reaching or goingbelow normal. The difference between morning and evening temperaturemay not be more than a degree. In the acute form it is high and con-tinuous, and soon may be attended by the typhoid state. In the morechronic cases it may be intermittent at first, then continuous, and finallyintermittent again. In the later stages the intermitting fever is due to a, FEVER IN PULMONARY TUBERCULOSA. 899 mixed infection, or saprsemia, due to the purulent contents (staphylococcusand streptococcus infection) of the lung (See Fig. 345 and ) The intermittent fever of the early stages has frequently beenmistaken for malaria. (See Fever.) The occurrence of fever in a patientwho has been losing flesh, and is otherwise in poor health, excludescancer and diabetes and other afebrile causes, and points strongly totuberculosis. It must not be forgotten that in chronic tuberculosis in theaged the temperature may not rise above 100° F.; often, indeed, it issubnormal. Fig. Intermitting fever of tuberculosis. (Original.)Fig. 346. ES m Continued fever of tuberculosis. (Original.) We must consider, therefore, that fever, the cause of which is not! obvious, may be due to tuberculosis; and that if, when such probablei causal conditions as gastro-intestinal catarrh or infectious disordersi (malaria and syphilis) and suppurations are eliminated, the fever still per-i sists, then the fever is probably of tuberculous origin. 1 Leyden has pointed out that intermitting fever is part of the tuberculous process, and:> not a streptococcus or staphylococcus infection as formerly held, because pus micro-organ->>isms are not found in the purulent contents of cavities, and because in other forms of11 tuberculosis, as empyema or joint-disease, they are notably absent, and yet such form offever exists.—Deutsche med. Wochenschrift, Sept. 14, 1894. 900 DISEASES OF THE LUNGS AND PLEURA. Sweat
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