Typhoid fever and typhus fever . and justifies thehope that the course of the disease may be abortive (Figs. Q6 and 67). The condition of the kidneys in the abortive forms is usually degrees of albuminuria may occur : marked excretion of albuminwith blood I saw in only 1 case, and that was of rather long duration, sothat it could hardly be called a distinctly abortive case. I give thetemperature-chart of this case in Fig. 68, as it shows not only the courseof the temperature, but also the occurrence and significance of a rela-tively slow pulse. These cases, it need hardly be said,
Typhoid fever and typhus fever . and justifies thehope that the course of the disease may be abortive (Figs. Q6 and 67). The condition of the kidneys in the abortive forms is usually degrees of albuminuria may occur : marked excretion of albuminwith blood I saw in only 1 case, and that was of rather long duration, sothat it could hardly be called a distinctly abortive case. I give thetemperature-chart of this case in Fig. 68, as it shows not only the courseof the temperature, but also the occurrence and significance of a rela-tively slow pulse. These cases, it need hardly be said, form the transition betweenabortive cases and those of moderate severity ending in recovery inwhich the duration is not abridged. 560 TYPHUS FEVER. So far we have discussed cases in which, as we have seen, a diagnosiscould be made with certainty, or at least with a fair degree of probability,especially if they were under observation for a sufficiently long every epidemic, however, especially when it is at its height and. toward the end, cases occur that cannot be diagnosed with certainty andin which the interpretation will be greatly dependent on the point ofview of the observer. In these cases the fever lasts but a short timeand examination fails to disclose any positive signs of typhus, such as VARIATIONS IN COURSE AND MANIFESTATIONS OF DISEASE. 561 the characteristic rash, although, at the same time, other diseases can bepositively excluded, and the history shows that the individuals have hadclose relations with typhus fever patients. Some of these cases might with perfect justice be called febris exan-thematica sine ezanthemate in imitation of analogous cases that occurin variola and scarlet fever. This form is mentioned in the writings of other authors, especiallythe more recent ones, among whom I may name Rosenstein and Naunyn ;the former claims to have observed it quite frequently. Finally, we have a group of most perplexing cases, baffling allattempts at diagnos
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecttyphoid, bookyear1901
