TYPHOID AND REMITTENT FEVERS.
of the '?'?Indian Medical Gazette.1'' Sir,?Tn reply to Surgeon-Major Fairland's query as typhoid ulcers being pathogomonic of enteric fever, it To the Editor
to is only necessary to state that Sir W. Jenner and other authors who agree with him as to the non-identity of Enteric and Typhus fevers, consider the intestinal lesion characterstic of the disease, although sometimes the fever may be so severe as to cause death before the ulcerative stage is reached; nevertheless changes are always found in Peyer's patches and the corresponding mesenteric glands. Heuce any case which was considered to be remittent fever during life should, on the characteristic typhoid lesion being found on post-mortem examination, be returned as enteric fever, and the original diagnosis be corrected. It seems to me that the question might pertinently be asked, whether there are such diseases as remittent and infantile remittent fevers to be met with in India as distinct from enteric fever? or whether cases so recorded are not due to an error in diagnosis. Sir W. Stokes in the last edition of his work on " Continued Fever,"' 1874, still insisted on the greater or less identity of enteric and typhus fevers. He " in both the local symptoms may be states that only cr less connected with anatomical functional, or more " similar that causes seem occasionchange"; exciting ally capable 'of giving rise to" either form of fever" ; cases' and that in relapse typhoid may give place to typhus, or vice veYsa." I am, &c., Shirley Deakin, F. JJ. CJ. S, Eng. Allahabad.
of the '?'?Indian Medical Gazette.1'' Sir,?Tn reply to Surgeon-Major Fairland's query as typhoid ulcers being pathogomonic of enteric fever, it To the Editor
to is only necessary to state that Sir W. Jenner and other authors who agree with him as to the non-identity of Enteric and Typhus fevers, consider the intestinal lesion characterstic of the disease, although sometimes the fever may be so severe as to cause death before the ulcerative stage is reached; nevertheless changes are always found in Peyer's patches and the corresponding mesenteric glands. Heuce any case which was considered to be remittent fever during life should, on the characteristic typhoid lesion being found on post-mortem examination, be returned as enteric fever, and the original diagnosis be corrected. It seems to me that the question might pertinently be asked, whether there are such diseases as remittent and infantile remittent fevers to be met with in India as distinct from enteric fever? or whether cases so recorded are not due to an error in diagnosis. Sir W. Stokes in the last edition of his work on " Continued Fever,"' 1874, still insisted on the greater or less identity of enteric and typhus fevers. He " in both the local symptoms may be states that only cr less connected with anatomical functional, or more " similar that causes seem occasionchange"; exciting ally capable 'of giving rise to" either form of fever" ; cases' and that in relapse typhoid may give place to typhus, or vice veYsa." I am, &c., Shirley Deakin, F. JJ. CJ. S, Eng. Allahabad.
