[346] Christison, Life, u. s. I. 341.
[347] “Cases showing the frequency of the occurrence of Follicular Ulceration in the Mucous Membrane of the Intestine during the progress of Idiopathic Fever, with Dissections, and Observations on its Pathology.” Lond. Med. and Physical Journ., Aug. 1826, p. 97.
[348] Ibid. p. 351.
[349] Burne, u. s.
[350] Richard Bright, M.D., Reports of Medical Cases. Part I., 1827.
[351] Life of Sir Robert Christison, I. 144. Also in Trans. Soc. Sc. Assn. 1863, p. 104.
[352] Edin. Med. Journ., Jan. 1858, p. 588. Cf. infra, under Dysentery, 1828.
[353] Reid, Trans. K. and Q. Coll. of Phys. in Ireland, V.; O’Brien, ibid.
[354] Writing in 1839, Dr Stokes, of Dublin, made the following remarkable assertion (Dub. Journ. Med. and Chem. Sc. XV. p. 3, note): “In the epidemic of 1826 and 1827 we observed the follicular ulceration (dothienenteritis of the French) in the greater number of cases.” As the epidemic of 1826-27 was almost wholly one of relapsing fever, the statement is at least puzzling. It was made twelve years after the epidemic, at a time when the discrepancies between British and French observers, as to the occurrence of ulceration of the ileum in continued fever, were much discussed. Dr Lombard, of Geneva, having visited Glasgow, Dublin and other places, and confirmed the fact that the characteristic lesion of enteric fever was at that time only occasional, went on to say that Irish typhus was a species of disease by itself, a morbus miseriae. Whereupon the editor of the ‘Dublin Journal of Medical Science’ (XII. 503, in a review of Cowan’s Glasgow Statistics) gave the following truly Irish reply: “Had Dr Lombard made more inquiries, he would have found that Ireland is not so sunk in misery and debasement but that she can produce occasionally a fever which, in abdominal ulcerations, can compete with the sporadic diseases of her wealthier and more enlightened neighbours.” It may have been in the same patriotic spirit that Stokes declared “the greater number of cases” in the epidemic of 1826 and 1827 to have had follicular ulceration.
[355] G. L. Roupell, M.D., Some Account of a Fever prevalent in 1831. Lond. 1837.