. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pon the littoral and islands of the JMediterranean and is known asMediterranean fever, rock fever, Xeapolitan fever, Danubian fever. Ithas also been encountered in China and India, Manila and in the West Indies, and imported cases have beenstudied in this country. It is prevalent in summer as an endemicdisease, not occasionally in circum-scribed epidemics. It is not directlytransmissible from the sick to the fever is especially a disease ofyoung adults. It has been partic
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. pon the littoral and islands of the JMediterranean and is known asMediterranean fever, rock fever, Xeapolitan fever, Danubian fever. Ithas also been encountered in China and India, Manila and in the West Indies, and imported cases have beenstudied in this country. It is prevalent in summer as an endemicdisease, not occasionally in circum-scribed epidemics. It is not directlytransmissible from the sick to the fever is especially a disease ofyoung adults. It has been particularlystudied by the surgeons of the BritishArmy stationed at Gribraltar and ]\ Cause.—The Micrococ-cus melitensis was first isolated andstudied by Brun in 1887. This organ-ism is found in the circulating blood,and is present in the spleen during lifeand after death. It is pathogenic formonkeys, and eases of accidental infection in laboratory work have beenreported. The serum of the patient after the fifth day causes agglutinationof cultures of the organism in dilution of 1 to 10 or 1 to Fig. 260.—Micrococcus melitensis. MALTA; UNDULANT; MEDITERllANEAN FIA i:ii. \>7 The milk su|)pl\ at Malta is lary-fly ilti-i\C(l Il-oiii i^oats, and Zannnil,in 1905, iiuulo the iiiiportaut discovery that tiu; ^--oats of the island areinfected with JMieroeoeeus inclitciisis and isolated this organism from themilk and nrine of those animals. Symptoms.—The i)eriod of iii(M])ation lasts from six to ten days,[lie onset is preeetled by prodromes not. nnlikc those of enterie fever. Tiieconrse of the disease is eliaraeteri/ed by nndnlations of fever, 102-104°F. (39°—40^^ C), of distinctly remittent type, lasting as a rnle from oneto three weeks, and separated by intervals of incomplete or completeapyrexia of two or more days dnrati(Mi. In rai-e cases during the pyrexial])eriod the fever conforms to the intermittent type, without, howevei-, mani-festing the regular period
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
