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By dint of resolution and nerve, which will accomplish much, I succeeded in throwing it off, being determined not to succumb through imagination or fear. A few days afterwards the attack was renewed with greater violence, and I was compelled to admit its reality, and acknowledge the supremacy of remittent fever. Mr. Church manifested much interest in my behalf.
But this subject requires scientific comparative observation on various parts of the Coast, for Cameroons is at the beginning of the South-West Coast, whereon the percentage of cases of haematuric to those of intermittent and remittent fevers is far higher than on the West Coast.
The south wind brought a cold drizzling rain, which numbed us, and two of the lads who had last come up from Dorjiling were seized with a remittent fever, originally contracted in the hot valleys; luckily we found some cattle-sheds, in which I left them, with two men to attend on them.
Of diseases, the more common are remittent and intermittent fevers, and these are the most important ones to avoid, since they bring so many bad effects after them. In the first place, they attack the brain, and often deprive one of his senses. Then there is no rallying from the weakness they produce.
A few individuals, even creoles and mulattoes, were sometimes carried off suddenly by certain irregular remittent fevers; which, from being complicated with bilious appearances, hemorrhages, and other symptoms equally alarming, appeared to have some analogy with the yellow fever.
All pioneers who have broken virgin soil with a plow in a warm, damp, wooded country will remember that for a considerable time thereafter they suffered from various forms of remittent and intermittent fever. Our soldiers around Santiago had a similar experience.
Interpolated fevers are characterized by intermissions and remissions, and thus include our intermittent and remittent fevers; synochus depended theoretically upon putrefaction of the blood in the vessels, and was a continued fever. Synocha, on the other hand, was occasioned by a mere superabundance of hot blood, hence the verse: "Synocha de multo, sed synochus de putrefacto."
The tongue is dry and coated, the lips and teeth are covered with sordes, the motions are loose and offensive, and may be passed involuntarily. The temperature is remittent and irregular, the pulse small and rapid, and the urine may contain blood and albumen. Sometimes the skin shows erythematous and purpuric rashes, and the patient may cry out as in meningitis.
Plehn, doubts this, and says people were less observant in those days, but the symptoms of this fever are so distinct, that I must think it also totally impossible for it not to have been differentiated from the usual remittent or intermittent by the old West Coasters if it had occurred there in former times with anything like the frequency it does now; but we will leave these theoretical and technical considerations and turn to the practical side of the question.
According to Ulloa, it was unknown in Terra Firma before 1729. I doubt, therefore, the epidemic of 1696 having been the yellow fever, or real typhus of America. Some of the symptoms which accompany yellow fever are common to bilious remittent fevers; and are no more characteristic than haematemeses of that severe disease now known at the Havannah and Vera Cruz by the name of vomito.
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