Dear Worlad;
I believe this may be of assistance:
Medical/Surgical History--Part III, Volume I
Chapter IV.--On The Continued Fevers.
II.--Clinical Records Of The Continued Fevers.
III.--Symptomatology Of The Continued Fevers.
II.--Typhoid Fever.
[excerpt]
Irrespective of the direct influence of the typhoid poison on the blood a morbid quality of this fluid necessarily resulted from the continuance of the febrile condition by its interference with the healthy action of the blood-forming and blood-purifying organs. This deterioration was occasionally manifested at a late period of the typhoid attack by the development of petechial spots and even of larger extravasations. Abscesses were formed in various situations, and sometimes these became gangrenous in character. Gangrene of the toes and feet, simulating that from frostbite and necessitating amputation, was recorded as a consequence of the typhoid affection.
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Medical/Surgical History--Part III, Volume I
Chapter IV.--On The Continued Fevers.
II.--Clinical Records Of The Continued Fevers.
V.--On The Pathological Anatomy And Pathology Of The Continued Fevers.
I.--The Cases And Their Analysis.
[excerpt]
GANGRENE OF THE FEET is recorded in six of the cases: 278, a malarial case in which amputation was performed at the metatarso-phalangeal articulations; 112, typho-malarial, in which amputation was effected by the circular method above the ankle, and 138, 143, 163 and 164 of the mixed series. In all the cases both feet were affected; in the three first mentioned the condition was attributed to frostbite.
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Medical/Surgical History--Part III, Volume I
Chapter IV.--On The Continued Fevers.
II.--Clinical Records Of The Continued Fevers.
V.--On The Pathological Anatomy And Pathology Of The Continued Fevers.
III.--The Organs Of Respiration And Circulation.
An impoverished condition of the blood, resulting from a deficiency of food, and the other co-operating influences to which a poverty-stricken people are subject have been so generally present not only in epidemics but in individual cases of fever characterized by gangrenous tendencies, that the appearance of the latter warrants a strong belief in the preexistence of the former. The deprivations and exposures to which our soldiers were liable, together with the prostration incident to repeated attacks of antecedent diarrhoea or other lowering diseases, render it probable that in occasional febrile seizures the specific cause of the fever found the patient in a condition as favorable for the development of spontaneous gangrene.as if he had undergone the preliminary course of starvation so common in Ireland during the years of famine and fever. On this view of the conditions associated with gangrene Dr. KEEN'S summary of the causes may be accepted as accurate. He attributed it to an altered blood, a weakened heart and the mechanical difficulties in carrying on the circulation, especially in distant parts; but in view of the usual seat of the affection in the lower extremities he concluded that the last two causes were the more immediately determining factors.(*) To these, perhaps, should be added exposure to cold, as the six reported cases occurred during months when frostbite from exposure on active field service was not uncommon, although unknown amid the comparative comforts of camp and hospital life. A degree of coldness of the feet resulting from displaced blankets, which, under ordinary conditions, would have been immediately succeeded by healthy reaction, may in these devitalized cases have sufficed to determine the development of gangrenous phenomena.(+)
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Medical/Surgical History--Part III, Volume II
Chapter XI.--Miscellaneous Injuries.
Section II.--Operations For Miscellaneous Injuries.
4, 5 Bates, C., Corp'l, E, 20th Maine, age 31. Jan. --, 1865. Frostbite and gangrene in both feet, contracted in rebel prison. April 25, 1865. Amp. both legs, lower thirds, antero-posterior flap. A.A. Surg. A. J. Smith. Discharged Oct. 21, 1865; sound stumps.
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Medical/Surgical History--Part III, Volume II
Chapter XI.--Miscellaneous Injuries.
Section II.--Operations For Miscellaneous Injuries.
18 Brown, C. E., Pt., G, 1st Massachusetts Heavy Artillery, age 22. Jan. 3, 1865. Frostbite of left foot followed by ulceration. Mar. 15, 1865. Amp. left leg, lateral skin flaps and circular section muscles. A.A. Surg. B. B. Miles. Discharged May 16, 1865.
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27 Clark, C. O. F., Pt., G, 1st Oregon. Dec. 17, 1865. Frostbite of both feet. Jan. 17, 1866. Amp. left leg, mid- third, and right foot. A.A. Surg. M.V.Aman. Nov. 9, 1868, re-amp. in upper third. Disch'd April 14, 1866. 1870, sound stumps. Specs. 4128 and 4191, A. M. M.
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5, 36 Dougherty, B.T., Pt., K, 31st Illinois, age 22. Gangrene of both feet following frostbite while prisoner of war. April 17, 1865. Amp. both legs, lower thirds, circular. A. A. Surg. F. E. Martindale. Discharged October 13,
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38, 39 Dees, G. W., Pt., E, 13th Missouri Cavalry, age 23. Dec. 13, 1865. Frostbite of both legs. Dec. 16, 18, 1865. Amp. both legs, lower thirds. ***'t Surg. D. G. Wilson, 1st Michigan Cavalry. Discharged June 2, 1866.
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46, 47 Douglas, S., Governm't employé, age 33. Dec. 20, 1863. Frostbite of both feet. Feb. --, 1864. Circular amput'n of both limbs 1 inch above ankle joint. Recovery slow.
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57 Fitzgerald, W., Pt., A, 103d Illinois, age 29. ---- 1865. Frostbite of left leg in rebel prison. ---- 1865. Amputation of leg at middle third. Mustered out August 15, 1865.
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58 Fitzmier, F., Pt., D, 3d New Jersey Cavalry. Dec. 13, 1864. Frostbite of both feet. Amputation of right leg, lower third, after discharge. Amp. of right foot at met. phal. art., and great toe, left foot, Dec. 20, 1864. Disch'd July 5, 1865.
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84, 85 Huyard, A., Pt., C, 122d Pennsylvania. Feb. 10, 1863. Frostbite of both feet Mar. 10, 1863. Amp. of both legs, mid. third. A. Surg. E. Marshall. 124th New York. Discharged August 11, 1863.
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93 Keller, J. C., Pt., I, 49th Pennsylvania. Mar. --, 1864. Frostbite toes of left foot; gangrene. Nov. --, 1864. Flap amput'n leg, lower third. Dr. B. F. Wagonseller, Selin's Grove, Pennsylvania. Discharged May 15, 1865.
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16, 117 Miller, D. W., Pt., A, 13th Kentucky Cavalry, age 18. Dec. --, 1864. Loss of both feet from frostbite. May 13, 1865, Feb. 1, 1866. Amp. left leg at junct. mid. and lower thirds; amp. right leg at junct. of middle and lower thirds. Dr. H. Owens. Discharged January 14, 1865.
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118, 119 Morgan, M., Pt., H, 3d Colored H'vy Art., age 19. Jan. 1, 1864. Frostbite of both feet. Jan. 25, 29, '64. Amput'n of left and right legs at middle thirds. Surg. H. H. Hood, 3d Colored H'vy Art. Discharged May 9, 1865.
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136 Redfoot, G., Corp'l, K, 106th Pennsylvania. age 29. Feb. 20, 1865. Frostbite of left foot in rebel prison. Aug. 11, 1865. Circular amp. of leg, low. third. A. A. Surg. E. DeWitt. Discharged December 12, 1865.
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139, 140 Robinson, A., Pt., I, 8th Colored Troops, age 26. Dec. 18, 1864. Frostbite of both limbs. Feb. --, 1865. Amput'n of both legs in lower third. Discharged June 7, 1865; sound stumps.
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169 Watkins, E. D., Pt., H, 5th Kentucky Cavalry, age 30. Feb. 21, 1864. Frostbite of both feet: amput'n both feet April, 1865. Mar. 18, 1866. Amputation right leg 6 inches below knee. Recovered.
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84, 185 Black, J., Pt., I, 16th Conn., age 33. Frostbite of both feet while in captivity. April 24, 1865. Circular amp. both legs, lower third. A. A. Surg. E. DeWitt. Died April 27, 1865. of exhaust'n.
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89, 190 Coleman, R., Pt., B, 83d Pennsylvania. Nov --, 1864. Frostbite of both feet; mortification. Amputation of both legs below knee. Died January 2, 1865.
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13, 214 Ivory, J., Pt., D, 2d Tenn. Cavalry. Frostbite of both feet; gangrene. April 2, 1864. Flap amp. both legs, low. third. A. A. Surg. E. Herwig. Died April 30, 1864, of congestive fever.
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CONTINUED