Epidemic Cerebrospinal Meningitis PDF Download

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1867 edition. Excerpt: ..., young woman to which we referred upon a previous page was of the same nature. The intermittent type has been described by Ames and other physicians in malarial districts, but it is by no means confined to such localities. According to Hirsch, the paroxysms are more or less regular, assuming the quotidian or the tertian type; the heat of skin, when this is present, the pains, cramps, delirium, &c. manifesting regular exacerbations and remissions, so that in fatal cases the attack resembles pernicious intermittent or remittent fever. Sometimes the intermissions are manifested during the prodromic stage, suggesting a delusive idea of the nature of the attack; sometimes the characteristic symptoms are intermittent; and sometimes this type first manifests itself during the decline of the disease, and naturally suggests the suspicion of a relapse. This occurrence is not to be confounded with a true relapse, of which some notice has already been taken. ANATOMICAL CHARACTERS. No other epidemic disease presents more definite and characteristic lesions, post mortem, than cerebrospinal meningitis. According to its type and its duration there never fail to be found some of those changes in the membranes or in the substance of the great nervous centres which denote the existence of inflammation. Congestion of the blood-vessels and exudation of serum fibrin or pus beneath the meninges, and different degrees of alteration in the nervous pulp attest the nature of the process. And since all or any of these may be found, it follows, that however essential the lesions may be to the idea of the disease, they do not constitute its exclusive manifestation. As death is compatible with the early and forming stage of the inflammatory process, as well as with its..