The Endemic Diseases of the Southern States

Cover The Endemic Diseases of the Southern States
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While five miles from home he was dumbfounded at passing an abundance of almost black urine. He immediately set out to consult me, and had ridden six miles when he was prevailed upon to return home.
Death from exhaustion occurred on the fourth day. Rarely the onset is characterized by violent pain in the abdomen.
The intensity of the onset is no guide to the severity of the attack.
There are four symptoms which are present in nearly all cases. These are: fever, hemoglobinuria, icterus, and vomi
...ting.
There is nothing characteristic in the temperature. Its usual range is from ioi° to 105°^. Hyperpyrexia is unusual, though very high temperatures have been recorded. Thus Marsden^^" noted a case in which the temperature reached i09°F. Cases in which the temperature is normal or subnormal throughout are not unknown, for example, two reported by Baldwin Seal.^^° Neither of these patients had taken any quinine. As a rule, in mild cases the temperature reaches the fastigium shortly after onset, from which point it drops pro- gressively to or a little below normal.


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