I wish in this paper, based on the study of several epidemics of yellow fever in Charleston, to make three points which are of the first importance; also to give some of the results of my experience as regards treatment and pathology, which I do not think have attracted the attention they deserve:
1. That this fever in Charleston has always been accompanied by what is known as "breakbone fever;" this, though extremely mild, is not distinguishable, but being counted in with cases of true yellow fever, prevents all accuracy in the mortality reports,
2. That yellow fever is fully susceptible of successful management in fair cases, seen early,
3. That life is compromised in the first six to ten hours of the disease; so that it is essential that treatment should be begun early.
Co-existence of Yellow and Breakbone Fever.—Invariably two forms of fever existed together, namely, yellow fever,
PORCHER FP. YELLOW FEVER: PATHOLOGY AND TREATMENT.Prepared for the Pan-American Congress and for the International Congress at Rome.. JAMA. 1894;XXIII(5):196–199. doi:10.1001/jama.1894.02421100024002g