Practice of medicine : a manual for students and practitioners . Quotidian fever (Seguin). times by headache. With the onset of the paroxysm thereare lassitude, headache, sometimes nausea and vomiting a MALARIA. 139 slight rise in temperature, and a pronounced chill, the skinbecoming cold and blue. The temperature rises, and mayreach 105° or 106° F. The pulse is rapid, hard, and non-compressible. There is headache. The chill may last from. ten minutes to an hour or longer. Gradually the tempera-ture of the surface changes from cold to hot, the face isunshed, and the skin reddened. There may be
Practice of medicine : a manual for students and practitioners . Quotidian fever (Seguin). times by headache. With the onset of the paroxysm thereare lassitude, headache, sometimes nausea and vomiting a MALARIA. 139 slight rise in temperature, and a pronounced chill, the skinbecoming cold and blue. The temperature rises, and mayreach 105° or 106° F. The pulse is rapid, hard, and non-compressible. There is headache. The chill may last from. ten minutes to an hour or longer. Gradually the tempera-ture of the surface changes from cold to hot, the face isunshed, and the skin reddened. There may be throbbingheadache. There is intense thirst. The hot stage lasts from 140 INFECTIONS. thirty minutes to three or four hours. Gradually sweatingappears, the temperature falls, the headache is relieved, andsoon the paroxysm is over. The paroxysm usually lasts ten totwelve hours. Between paroxysms the individual is apparentlywell. In the tertian type the paroxysms recur every thirddav—that is, about forty-eight hours apart. An infectionwith two sets of tertian parasites may cause daily paroxysms—the quotidian fever. In the quartan type the interval is aboutseventy-two hours, the paroxysms occurring every fourth double quartan infection may cause paroxysms on two suc-cessive days, followed by an intermission of one day. Atriple quartan infection may cause daily paroxysms—a quo-tidian fever. The disease may disappear spontan
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