FEVER

the western part of the Island of Nippon, marked by an initial eschar, followed by ulceration of the skin, continued fever, inflammation of the lymphatics, and an exanthematous eruption. je or f., a long-standing intermittent fever common in parts of India. jungle f., a form of pernicious malarial fever occurring in the East Indies. kriim f., an endemic fever of Iceland, Faroé, and Green land. leprotic f., the irregular febrile disturbances seen in the early stages of leprosy. Levant f., a fever endemic in the Levant: by some believed to be of malarial origin. low f. Same ag asthenic f. lung f., croupous or other pneumonia. malarial f., a fever, usually either intermittent or remittent, formerly ascribed to emanations from damp ground, but now known to be caused by a microf#rganism or parasite (Plasmo'dium mala’riz) which gains acce to the blood through the bite of mosquitos of the genus Anopheles. The disease is attended with enlargement of the spleen, and in the later stages with disintegration of the blood-corpuscles. The fever occurs in paroxysms, each of which is marked by a chill, followed by high fever and sweating, the attack lasting from one to ten hours. In ins ferm it tent malarial fever there is complete intermi ion of the symptoms, but the attack occurs again at regular intervals. If the paroxysms recur daily, the fever is termed quotidian; if every other day, tertian; if after an interval of two days, guartan. In remiltent malarial fever there is only a remi ion between the attacks. Often the fever is replaced by periodic attacks of delirium, or of depre ion and coma, of nausea, vomiting, and diarrhea, of debility and coldne of the body, or of accelerated respiration and dyspnea. The attacks are known as dumb or masked ague. When of long duration, the fever produces a state of vital depre ion, anemia, and cachexia. malarial cahal f. of sheep. See hemoglobinuria of sheep. malignant f., fever in which the blood undergoes rapid degenerative changes. Malta f., Mediterranean f., a fever of bacterial origin prevailing in the Mediterranean region: not unknown in tropical America. It is marked by irregular fever, malaise, headache, diarrhea, and pains in the limbs, and is frequently followed by tonsillitis, rheumatism, and orchitis. It is said to be caused by the Miécrococ'- cus melilen’sis. Called also rock-f. and Neapolitan f. Man chur i an f., a disease similar to typhoid or typhus, occurring in Manchuria. jiary f., an epidemic fever characterized by sweating and the formation of a great many papules, succeeded by a crop of pustules. milk-. 1. A mild form of puerperal septicemia. 2. A fever said to attend the establishment of lactation after delivery. 3. An endemic fever said to be caused by the use of unwholesome cows’ milk. 4. A disease of cows. See cerebral ia, under ia, and parturient paralysis, under paralysis. mosquito f., a febrile disease affecting unacclimated persons in Herzegovina at the beginning of the mosquito season. Mo man f., a fever endemic among the sugar-cane cutters of Mo man, North Queensland. It is characterized by swelling of the glands of the axilla and groin. mud f. See swemp f. nakra f., nasa f., nasha f. (Hind. ndsa nose], a remittent fever of India, attended with brain congestion and a pathognomonic turgescence of the ve els of the schneiderian membrane. Neapolitan f. Same as Malta f. nicobar f., a violent type of jungle fever. nightsoilf. Same as typhoid f. no f., erythema nodosum. oroya f. See verrucae peruana. pappataci f. See sandfly f. para mel i tens is f., a disease resembling clinically Malta fever, but caused by an organism which differs from the Micrococcus mel i tens is. paratyphoid f., a continued fever with symptoms identical with those of typhoid fever, but with the Widal reaction negative. It is caused by a bacillus intermediate in form between the typhoid bacillus and the colon bacillus—the regions, and vomiting. The fever rises rapidly, the bowels become constipated, and the vomiting increases, until by the fourth day it becomes black or red from the presence of blood. The skin becomes jaundiced, the urine scanty and albuminous, and there may be hemorrhage from the intestinal mucous membrane. The disease is extremely fatal, the patient pa ing into the typhoid state or into a condition of delirium or of coma.