VI. Now the ardent fevers and phrenitis began
early in the spring after the cold snaps which
occurred, and very many fell sick at that time.
These suffered acute and fatal symptoms. The constitution
of the ardent fevers that occurred was as
follows. At the beginning coma, nausea, shivering,
acute fever, no great thirst, no delirium, slight
epistaxis. The exacerbations in most cases on even
days, and about the time of the exacerbations there
was loss of memory with prostration and speechlessness.
The feet and hands of these patients were
always colder than usual, most especially about the
times of exacerbation. Slowly and in no healthy
manner they recovered their heat, becoming rational
again and conversing. Either the coma held them
continuously without sleep, or they were wakeful
and in pain. Bowels disordered in the majority of
these cases, with crude, thin, copious stools. Urine
copious, thin, with no critical or favourable sign, nor
did any other critical sign appear in these patients.
For there occurred neither favourable hemorrhage
nor any other of the usual critical abscessions. The
manner of their dying varied with the individual ; it
was usually irregular, at the crises, but in some cases
after long loss of speech and in many with sweating.
These were the symptoms attending the fatal cases
of ardent fever, and the cases of phrenitis were
similar. These suffered from no thirst at all, and
no case showed the mad delirium that attacked
others, but they passed away overpowered by a dull
oppression of stupor.