. A practical treatise on medical diagnosis for students and physicians . ue heavilycoated with yellow fur. The temperature is moderately elevated and thepatient has great thirst. Nausea and vomiting are absent, though thereis little desire for food. There may be a burning feeling referred to thesplenic region. The patient is worse on alternate days, and the attacksmay be preceded by slight creeping chills. On inquiry the patient willbe found to live in a low-lying district near one of the rivers, or in adamp house over an unclean, moist cellar, or adjoining a place wheresoil has been freshly
. A practical treatise on medical diagnosis for students and physicians . ue heavilycoated with yellow fur. The temperature is moderately elevated and thepatient has great thirst. Nausea and vomiting are absent, though thereis little desire for food. There may be a burning feeling referred to thesplenic region. The patient is worse on alternate days, and the attacksmay be preceded by slight creeping chills. On inquiry the patient willbe found to live in a low-lying district near one of the rivers, or in adamp house over an unclean, moist cellar, or adjoining a place wheresoil has been freshly upturned. In the form known as dumb ague there is a periodically greatdepression, with aching in the head and limbs, a sensation of coldnessrather than chilliness, but no marked fever and sweating. Nausea andvomiting may, however, be present. Da Costa says he has seen it mani-fest itself by excruciating pain over the kidney and almost entire sup-pression of urine. There may also be severe paroxysms of is more common in old residents of malarial Cold tub baths. Abundant malarial organisms. Malarial fever associated with enteric fever. (Thompson.) In masked malarial fever the poison manifests itself in an attack ofneuralgia, especially of the supraorbital nerve and gastric nerves. Malariamay also be latent until some impairment of the resisting power bringsit to light. Hence, it appears as a complication of pneumonia and dys-entery and typhoid fever (Fig. 296), especially in the southern and south-western portions of the United States. Moreover, women who havepreviously had intermittent fever may suffer a recurrence after confine-ment ; it must not be confounded with so-called puerperal malarial fever,which is unfortunately more common and of infectious origin. Diagnosis. The essential points in the diagnosis of intermittent feverare the periodical recurrence of paroxysms of chill, fever, and sweating,or of attacks of dumb ague, or of paroxysms of neural
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