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A young man, aged 20, of spare build, was seen in the writer's office Aug. 21, 1901. He complained of severe frontal headache, dizziness, ringing in the ears, pains in the eyes, loss of appetite, gurgling in the abdomen, backache, diarrhea, exhaustion and nose-bleed. The tongue was thickly coated, spleen and liver enlarged, gurgling and tenderness in the right iliac fossa, and some cough. Pulse was 72, temperature 102.5.
The patient was given a laxative, sent home to bed, and a sample of urine was ordered for examination. The following day he was seen at his home; temperature was 104, pulse 82 in the evening; urine showed the diazo-reaction of Ehrlich and a diagnosis of typhoid fever was made. Systematic cold sponging was practiced every three hours, a milk and beef juice diet was ordered, at the same time an intestinal antiseptic was continually given. At no time during the
ARMSTRONG GC. CASE OF TYPHOID FEVER: COMPLICATED BY A THROMBO-PHLEBITIS OF THE LONG SAPHENOUS VEIN, A SEVERE HEMORRHAGE FROM THE BOWEL, INFECTION OF THE CLOT, WITH RECOVERY. JAMA. 1902;XXXVIII(13):824. doi:10.1001/jama.1902.62480130022001f
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