. A practical treatise on medical diagnosis for students and physicians . ous fever, characterizedby coryza and bronchitis, a red, papular eruption coming out on the fourthday, and followed by a branny desquamation about the ninth or tenthday. The mucous membranes are especially liable to complications. Measles occurs in epidemics, especially in cold weather, but individualcases are met with in large cities at all seasons of the year. It is so con-tagious that when one case develops in a household or institution almostevery person exposed to it and not protected by a previous attack acquiresit


. A practical treatise on medical diagnosis for students and physicians . ous fever, characterizedby coryza and bronchitis, a red, papular eruption coming out on the fourthday, and followed by a branny desquamation about the ninth or tenthday. The mucous membranes are especially liable to complications. Measles occurs in epidemics, especially in cold weather, but individualcases are met with in large cities at all seasons of the year. It is so con-tagious that when one case develops in a household or institution almostevery person exposed to it and not protected by a previous attack acquiresit. Children from one to five years of age are most susceptible to thepoison, but it may occur in utero and in old age; moreover, the sameperson may have several attacks, showing that one attack does not affordthe same protection as an attack of scarlatina or variola. Measles is sometimes found in association with scarlatina and varicella,but it is especially liable to occur after pertussis. The specific cause of the disease has not yet been isolated. Fig. 285. Fig. E 1 \ z := 2 :- 1 ■j 3 i 5 6 ? S 9 .- >\v ■■ - - y4- ,, „■ ;> /& , 9 10 11 12 13 1* 17 Measles. Temperature taken on the first day,made higher as the result of attendance at schooland exertion. (Original.) Measles. Lower temperature second andthird days. Hyperpyrexia sixth day. Abun-dant eruption. Bronchitis severe. (Original.) Incubation. The period of incubation lasts from eleven to fourteendays. During this time the patient may exhibit no symptoms, or may beirritable and restless, with disturbed sleep and occasional cough, andlooseness of the bowels. Invasion. The invasion is marked by cough and fever, and by red-ness of the eyes and lacrymation, sometimes with photophobia, sneezing,and an irritating, watery discharge from the nose, which subsequentlybecomes mucopurulent, and by cough and fever. In short, the early 716 THE INFECTIONS. symptoms are those of a severe coryza. These symptoms l


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