Cerebro Spinal Fever.
Definition. This disease may be contracted by poisoned air and through the medium of fluids, and though markedly infectious, is not supposed to be contagious. The other names are spotted fever or 'cerebro spinal meningitis. The disease is found among children and young adults more often than among the aged. It occurs suddenly in epidemics which cover a large territory and it does not appear to be referable to any known laws or atmospheric conditions. The death rate is exceeding high considering the number that have the disease and this rate varies during different epidemics although there are different forms of severity.
Symptoms. As a general rule the first symptoms are intense headache with pain in the back of the neck or through the extremities and chest, followed by a moderate fever without sweating. Vomiting, and delirium with convulsions axe common symptoms. In a small portion of the cases, under fifty per cent, an eruption occurs, which gives the name of Spotted Fever to the disease. The bending back of the head on the neck making it impossible to bring the head forward is known as retraction of the head and is a very common symptom. Deafness, blindness and other complications are the result of irritation of the nervous system. The disease may he mistaken for typhoid fever early in its course, though the bowel symptoms in the latter disease are much more prominent.
Herpes or cold sores on the nose and lips are common in meningitis and very rare in typhoid.
Treatment. Cold to the head by means of ice bag should be at once resorted to. The diet should be light and sedatives such as the bromide of soda or chloral in 20 grain doses by the mouth and even morphia in one fourth grain doses will be needed to relieve and quiet the nervous irritation.
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