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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d the skin dry and hot. Headache is intense and there is presenteither great mental depression or nervous excitement. The pain in the backand limbs is often agonizing in character, and in some instances there is severepain over the abdomen, either over the spleen or in the right iliac region. Thetemperature is elevated and in uncomplicated cases very characteristic. Nauseaand vomiting are frequently present, the vomiting sometimes being very severe.Diarrhoea is a common complication. The urine is increased in quantity andis generally albuminous. The pulse is rapid and dicrotic in character, therespirations rapid, and there may be severe dyspnoea. The Sweating Stage or Stage of Remission.—The hot stage continuesfor several hours (sixteen to eighteen or twenty) and is followed by the fallingof the temperature accompanied by more or less sweating. During the latterstage the symptoms gradually decline in severity and finally disappear, the THE SYMPTOMATOLOGY OF THE MALARIAL FEVERS. I»I
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H 152 THE SYMPTOMATOLOGY OF THE MALARIAL FEVERS. temperature going a degree or a degree and a half below normal. A slightsweating is generally observed, but it is not nearly so marked as in tertianand quartan infections. The period of normal temperature or intermission may last only two orthree hours, when another paroxysm ensues. As a rule, attacks of this feveroccur toward evening, extend throughout the next day, and subside duringthe first hours of the third day, the entire paroxysm thus lasting thirty-six hoursor more and occurring every 48 hours. While the symptoms described areoften more severe in this type of malaria than they are in tertian and quartaninfections, there is nothing diagnostic about them except the curve exhibitedby the temperature. In uncomplicated cases the behavior of the temperatureis absolutely characteristic, and the temperature curve is one that is not metwith in any other disease. This peculiarity of tertian aestivo-autumnalinfections was first pointed ou

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