Identifier: practicalstudyo00dead (find matches)
Title: A practical study of malaria
Year: 1909 (1900s)
Authors: Deaderick, William Heiskell, 1876-
Subjects: Malaria
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ganic changes is not definitely known. The appetiteis generally poor and the digestion tardy. Epigastric pain,nausea, and vomiting may be complained of. The tongue andoral mucous membrane are pale. Diarrhea and dysentery fre-quently occur. Meteorism is common. The liver is usuallysomewhat enlarged at first; later it may become atrophic.Ascites is not a rare manifestation. When fever exists theurine is ordinarily scanty and highly colored. Delayed de-velopment of the genitals is common in the young and dimin-ished sexual power is not rare in the adult. Indifference, intel-lectual torpor, somnolence, headache, and vertigo are observedin cachectics. Resistance to cold is lessened and rheumaticpains are experienced. The skin is pallid, dry, and rough, andmay exhibit sores or purpuric spots. Anasarca may supervene. Pneumonia, dysentery, hemoglobinuric fever, and nephritisare common complications of cachexia, and amyloid degenera-tion, especially of the kidneys, an occasional sequela. Peri-
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E fe bDE a, >> H *+ 1 MO 1 M3 hn VO k4 IN VO CO W) Hh bCE CLINICAL HISTORY 239 splenitis occasionally occurs and may be the cause of severepain, especially if adhesions take place. A heavy spleen maycause relaxation of its supports and become floating or wan-dering. This condition is seen more often in multiparousfemales. By pressure on neighboring organs a wanderingspleen may cause pain, digestive disorders, or even intestinalocclusion. The pedicle may become twisted, as occurred in afatal case of Marchiafava and Bignami.22 Rupture of the spleen is an infrequent complication of mala-rial cachexia. It is very rarely associated with acute malaria,though a case has been recorded by Palmer317 in which ruptureoccurred within seven days of the onset of the fever. Thewriter observed a case in a subject of cachexia who had alarge, hard spleen. Recovery followed, notwithstanding ex-tensive hemorrhage. In some countries, especially in India,rupture of the spleen has assumed medicolegal i

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