An analysis of the fevers met with among Europeans in Calcutta: with a brief account of their clinical features and treatment

Abstract

I propose to give here, a brief account of the most important fevers met with among Europeans resident in Calcutta.having been on the staff of the large European hospital there for over four years, I have had ample opportunity for studying clinically a large number of such cases, and it is chiefly from the clinical point of view that I wish to write, giving, at the same time examples of each type with the temperature charts.I need hardly say, that among medical cases, "fever" is by far the most common complaint for which a patient comes to hospital. Therefore it is important to be able to differentiate the various fever both from the point of view of treatment and prognosi There undoubtedly was, some years ago, and still is, but to a less extent I am glad to say, a tendency to consider all fevers malarial, and to dose the unfortunate patient with quinine. This is a most - valuable drug when given in suitable cases, but one which has, without doubt, been much abused in the tropics.The most important fevers met with are malaria and typhoid, others being kala-azar, heat -stroke, and a peculiar fever, resembling in some respects dengue, spoken of generally in Calcutta as "seven -day fever ". This name was first given to it by Major Rogers, I.N.S on account of its average duration to about seven days.There are still undifferentiated fevers to be me with, but more accurate methods of diagnosis have already, and will further, reduce their number

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