Practice of medicine : a manual for students and practitioners . yogenic micro-organisms is announced by chills ami f ro-, 103°-104° F.;and these are repeated with each new invasion. The eleva-tion of temperature is accompanied by nervous symptoms, de-pression, headache, dizziness, and sometimes vomiting. Thereis profuse sweating. The fever recurs daily or every otherday, in chronic cases often at longer intervals, with varyingintensity, and is characterized by its irregularity, constitutingthe streptococcus-curve (Fig. 1), and by its resistance totreatment with quinine or the salicylates. The
Practice of medicine : a manual for students and practitioners . yogenic micro-organisms is announced by chills ami f ro-, 103°-104° F.;and these are repeated with each new invasion. The eleva-tion of temperature is accompanied by nervous symptoms, de-pression, headache, dizziness, and sometimes vomiting. Thereis profuse sweating. The fever recurs daily or every otherday, in chronic cases often at longer intervals, with varyingintensity, and is characterized by its irregularity, constitutingthe streptococcus-curve (Fig. 1), and by its resistance totreatment with quinine or the salicylates. The temperaturemay be above or below normal during the intervals. Exami-nation <f flic blood sometimes reveals the micro-organism cans- SEPTICEMIA. 19 ing the disease, and usually show s an increase of white blood-corpuscles (leucocytes), a decrease of red blood-corpuscles(erythrocytes), and an increase of blood-plaques. Soon there ispain in the joints, which arc swollen and tender. The spleenis enlarged. The skin, at first pale, becomes icteric. The Fig. Streptococcus-curve from a case of phthisis. pulse is rapid, often 120-140 per minute, weak and typhoid state ensues. Evidences of metastatic affectionmay be found, especially in the organs having end-arteries—the skin, eyes, heart, kidneys, and brain. Septicaemia—diagnosis: This rests upon the infection, chillsand fever, the sweating, the frequency of the pulse out ofproportion to the temperature, and the metastases. The differential diagnosis concerns chiefly : 1. Typhoid fever. Both diseases may show an eruption ofrose-colored spots, fever, diarrhoea, enlargement of the spleen,and bronchitis. Typhoid fever has a characteristic tempera-ture-curve, very different from the see-saw, irregular strep-tococcus-curve. The typhoid state is present much earlier intyphoid fever than in septicaemia. The presence of the 20 INFECTIONS. diazo-reaction (Ehrlich) in the urine, and the positive re-action of the blood
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Keywords: ., boo, bookcentury1800, bookdecade1890, booksubjectclinicalmedicine
