Report on the Recent Epidemic of Fever in the Rawalpindee Jail

of case of Hospital Assistant Ellahi Bux, Disease Typhus fever, from notes by Sub-Assistant Surgeon Bhoivani Dass and Dr. Ince. A tall strong young man, about 22 year's old, had, like Assistant Surgeon D. E. T. Lombard, been assisting for about a month in the medical duties at the Rawulpindee Jail during the epidemic of fever. He was taken ill on 4th April, with headache, drowsiness, listlessness, chilliness, thirst, and loss of appetite ; his tongue coated in centre with white fur, through which papillae were prominent, tip and edges were red, and the amount of saliva was increased. Towards the end of the first week he became more drowsy, dull, and languid, also dispirited ; the headache ceased, he became deaf, his speech was thick, he was slightly delirious at nights, and occasionally restless and wanting to get out of bed; hia face was flushed and greasy looking, his eyes suffused or watery, and conjunctivce very much injected; his tongue became rough, dry, and brownish, the tip and edges still continued red ; there was still thirst; the bowels were regular. lie felt a sense of tightness across the chest, was troubled with a hacking cough, and occasional mucous expectoration; his urine was highly febrile. On the 7th. day, a copious eruption of small brownish red spots appeared in front and back of chest, upon the arms down to the wrist, and the front of the abdomen ; they were slightly raised and disappeared on pressure. During the second week, he was more or less comatose ; passed his urine and fasces involuntarily, and typhoid symptoms, as well as the typhous odour, were strongly marked; the teeth were covered with sordes, the tongue was dry and brown, and the saliva wms thick, stringy, and of dark color ; there was subsultus tendinum and increasing emaciation ; the chest symptoms continued, and the spots gradually faded. On the loth day he began to improve, coma diminished, eyes became brighter and clearer; tongue moist but sticky ; he asked for what he wanted, the subsultus tendinum lessened, slight delirium and moaning became prominent, but the power over the sphincters was regained. On the 23rd day it was noted,?" He sleeps well, consciousness restored, eyes clear and bright, still complains of deafness and tinnitus aurium, tongue clean and moist, appetite good, bowels regular, the original spotty eruption disappeared; sudamina, which were first noticed on the morning of the 18th day on neck and chest and about the armpits and groins, now desquamating ; no cough nor expectoration; is gradually regaining flesh and strength, and quite convalescent."