The Symptoms of Pernicious Intermittent Fever - Congestive Chills

Chill longer and harder than usual; convulsions; epilepsy; tetanus; symptoms resembling hydrophobia or delirium, followed by stupor ending with sweat; coldness after sweating stage; hemorrhage from bowels; congestion of the lungs; pneumonia; pleurisy; symptoms resembling those of cholera; jaundice.

Pernicious intermittent fever appears in a variety of forms, most of the symptoms of which are included in the above list, though all are not found in any one case. The paroxysm may occur suddenly, without warning, or may be preceded by one or more paroxysms of the usual character, or may be gradually developed, the symptoms becoming more severe with each successive paroxysm. The disease is most frequent in the Southern States and in hot countries. According to Dr. Drake, it has prevailed at various times along the southern shore of Lake Michigan, between Chicago and the mouth of the St. Joseph River, and at various points on the shores of Lakes Erie and Huron.

The Treatment of Pernicious Intermittent Fever - Congestive Chills

This is a very dangerous malady, and requires prompt and vigorous treatment. The same measures which have been prescribed for ordinary intermittent fever should be employed, but with still greater vigor. During the chill, the most energetic measures should be employed to excite action in the surface of the body by hot and dry applications and vigorous rubbing of the skin with hot flannels. The inhala tion of a few drops of nitrite of amyl or of chloroform we have found effective in interrupting a congestive chill. Pilocarpin, a remedy which possesses the power of producing copious perspiration, is also useful for the same purpose. Symptoms relating to the stomach and bowels should be treated as when the same symptoms occur under other circumstances. Ice, and cold compresses should be applied to the head with great thoroughness, and ice should also be applied to the spine as soon as the chilly sensations have passed away. Some recommend the application of ice to the spine during the chill, and there is no doubt that good may be accomplished by this measure if properly used. If employed, care should be taken to confine the application to a narrow strip just over the spinal column. There is less danger of chilling the patient than is generally supposed if this precaution is observed.

After the attack, everything should be done to fortify the patient against a succeeding paroxysm, which is very likely to be more severe than the first, if it occurs. When possible, a physician should be called in. A full dose of quinine will diminish the liability of a second attack and may thus be of benefit. The same precaution should be observed to prevent the occurrence of another paroxysm as has been described in the treatment of ordinary intermittent fever for preventing the chill.