Identifier: malarialfeversha1909crai (find matches)
Title: The malarial fevers, haemoglobinuric fever and the blood protozoa of man
Year: 1909 (1900s)
Authors: Craig, Charles Franklin, 1872-1950
Subjects: Malaria Blackwater fever Blood Malaria Blackwater Fever
Publisher: New York : William Wood and Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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rity of instances, although very rarely such in-fections are observed in which the patients complain only of chilly sensations.In the aestivo-autumnal infections, however, the chill is slight or almost absent,especially in the tertian form. In the majority of cases the patients simply com-plain of chilly sensations along the spinal column and seldom shake with thechill. In the quotidian infections the chill is more pronounced than in the ter-tian form, and in both occur cases in which the chill may be very severe andexhausting. There are also many cases in which the chill is so slight as not toattract the attention of the patient. As a rule, the chilly sensations or the chilldo not last over three-quarters of an hour, and in the aestivo-autumnal in-fections often not over fifteen to twenty minutes. In general, it may be saidthat shaking chills occur commonly in simple tertian and quartan malaria, veryrarely in aestivo-autumnal infections. THE SYMPTOMATOLOGY OF THE MALARIAL FEVERS. 187
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O^ 165 THE SYMPTOMATOLOGY OF THE MALARIAL FEVERS. The Sweating.—In simple tertian and quartan infections the sweatingwhich occurs during the decline of the febrile paroxysm is generally profuse andsometimes very exhausting. In these cases the entire skin is covered with per-spiration, often so great in quantity that the water may be seen trickling downthe trunk and limbs, saturating the bed-clothing. In the tertian aestivo-autumnalinfection the sweating is not excessive, and is often so slight as not to at-tract attention. In the quotidian form the sweating is generally more severe,but not, as a rule, so marked as in the simple tertian or quartan infections. Inboth forms of aestivo-autumnal fever, however, the sweating stage may beprolonged and exhausting. Facial Appearance.—In primary acute attacks of all forms of malaria theface is flushed or congested, the eyes suffused and brilliant, while an anxious ex-pression is often present and the patient looks very sick. Exceptions to t

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