SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

“In a case developing typhoid symptoms in the third week, from
improper treatment, we find the following range of temperature from
the thirteenth day until death:”
The synochoid type is of longer duration and shows greater depravity
of the blood; in fact, very closely resembles typhoid fever.
“The stage of incubation is generally of some days’ duration, though
when the cause is intense, it may be brief. The patient complains of
languor, indisposition to exertion, loss of appetite, irregularity of bowels,
dryness of skin, and more or less pain in head or back, and soreness of
muscular tissue. These symptoms increasing, at last a tolerably wellmarked
chill comes on; the patient feels cold, especially at the
extremities, and chilly sensations pass over the body. These are shortly
alternated with flushes of heat, which become more and more marked,
until febrile reaction is established.
“In rare cases, the cold stage is as well marked as in an intermittent,
amounting to a rigor; in many, the patient hardly notices the cold stage,
it is so slight.
“With the development of reaction, the skin becomes hot and dry, the
urinary secretion scanty, high-colored, and does not deposit a sediment,
and the bowels are constipated. The mouth is dry and the tongue coated
with a slightly yellowish white coat, or, in some cases, a heavy yellowish
coat on base, with a bad taste in the mouth and slight nausea; in others,
the gastric mucous membrane being irritable, it is elongated, the tip and
edges reddened, but coated white in the center; there is thirst, but not so
intense as in the preceding form of fever. The pulse is frequent, full,
sometimes hard, especially if there is irritation of the mucous
membranes, or cerebro-spinal centers, but rarely bounding. In some
cases there is nausea and even vomiting; but if so, the tongue will either
be found heavily coated at base, with a disagreeable taste in the mouth,
and sense of oppression in the epigastrium, or pointed, with reddened
tip and edges, and tenderness on pressure over the stomach.
The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 256