Typhoid fever and typhus fever . following the first afebrileevening the temperature will be between 35° and 36° C. The tem-perature then varies in different cases : it may—as is not uncommon 150 TYPHOID FEVER. and has been described—remain subnormal for a week and longer, thestage of emaciation thus following immediately. In other cases, afterthe normal has been reached, there follow more or less marked, irregularfluctuations in the curve, through which the physiologic evening tem-perature is reached and probably also is exceeded. After this has con-tinued for a few days and the disease tends
Typhoid fever and typhus fever . following the first afebrileevening the temperature will be between 35° and 36° C. The tem-perature then varies in different cases : it may—as is not uncommon 150 TYPHOID FEVER. and has been described—remain subnormal for a week and longer, thestage of emaciation thus following immediately. In other cases, afterthe normal has been reached, there follow more or less marked, irregularfluctuations in the curve, through which the physiologic evening tem-perature is reached and probably also is exceeded. After this has con-tinued for a few days and the disease tends toward definitive , the characteristic stage of emaciation begins. Only in the mildestcases can recovery and return of the temperature-curve to the precedingphysiologic form and level follow immediately, without the occurrenceof the stage of emaciation. The cases are not rare in which the decline of temperature takesplace not with great fluctuations, but gradually. This uniform decline is Day of the Fig. 19.—Temperature-chart, with unusually marked fluctuations in the temperature-curvebefore the primary defervescence, from a case of severe typhoid fever, of greatly protractedcourse, in a workman, seventeen years old. A slight recrudescence began on the forty-first dayof the disease. likely to be completed, on the average, in two or three, rarely more, another variety of defervescence is that in which, after unusuallymarked fluctuations in the curve persisting for days, the differencebetween morning and evening temperature being at times 4 or 5degrees, definite reduction in temperature takes place within fromtwelve to eighteen hours, occasionally within a still shorter time, in asingle stroke. In such cases I have observed recrudescences andrelapses with remarkable frequency (Fig. 19). At times this varietyof sudden decline of temperature is preceded by one or two such markedfluctuations, after the curve has previously preserved the cha
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecttyphoid, bookyear1901
