[Reprinted from The Medical News, April 14,1894.] 
TWO ATTACKS OF TYPHOID FEVER IN THE 
SAME PERSON. 
German Hospital, Philadelphia. 
Service of L. WOLFF, M.D. 
[Reported by Alfred Hand, M.D., and Arthur J. Patek, 
M.D., Resident Physicians.] 
Second attacks of typhoid fever in the same indi- 
vidual are so rare as to make the following record of a 
well-authenticated case of practical importance : 
M. Y., a female, aged nineteen years, was admitted to 
the hospital March 29, 1893. She had been feeling 
unwell for several weeks, with headache and moderate 
diarrhea, and had been confined to bed for six days before 
admission. The tongue was dry and coated, the pupils 
were dilated, the spleen was enlarged; there were a few 
rose-colored spots, and gurgling in the right iliac fossa 
was present. The pulse was weak, but improved in 
quality under treatment, consisting of systematic cool 
bathing. The temperature was taken every three hours 
and a bath administered, preceded and followed by a 
little wine, whenever the thermometer registered IO2°F. 
The disease ran a mild course, and the patient left the 
hospital five and a half weeks after admission in good 
health. 
On September 21, 1893, the patient was readmitted, 
suffering from a second attack of well-marked typhoid 
fever, being apparently at the ninth day of her illness. 
Her condition was as follows: Great depression, both 
mental and physical; severe headache, dilated pupils, 2 
constipation, dry and coated tongue, enlarged spleen, 
abdomen not distended, pain and gurgling in the right 
iliac fossa, and typical typhoid spots on the abdomen. 
The fastigium was of about one week's duration, and no 
complications arose during convalescence. The bath- 
treatment was adhered to, as in the first attack, and 
thirty-eight baths were administered. The patient was 
discharged four weeks after admission. 
The striking similarity between the attacks is worthy 
of note. The number of baths was nearly equal- 
forty-three in the first and thirty-eight in the second 
attack. The temperature fell to normal on the same 
day on each occasion, as is shown by the appended 
record of the morning and evening temperatures of the 
attacks: 
First attack. 
Second attack. 
Evening temperature . 
. 102.8° F. 
103.4° F. 
Morning " 
102.0 
104.0 
Evening " 
. IO4.2 
103.2 
Morning " 
. IO3.2 
103.8 
Evening " 
. IO4.4 
IO3.4 
Morning " 
. IO3.2 
103.8 
Evening " 
. IO4 4 
104.0 
Morning " 
• IO3.4 
103.0 
Evening " 
• IO3.4 
103 6 
Morning " 
. 102.6 
102.4 
Evening " 
103.0 
104.2 
Morning " 
. 102.4 
102 O 
Evening " 
. 103.4 
IO4.2 
Morning " 
. IOI.O 
102.0 
Evening ' ' 
. . 102.6 
IO3.8 
Morning " 
. . 100.8 
IOI.O 
Evening " 
. 102.2 
103.0 
Morning " 
. . 100.0 
100.0 
Evening " 
. 102.2 
101.4 
Morning " 
• 99-4 
100.4 
Evening " 
IOI.2 
99-2 
Morning " 
. 99.8 
99.0 
Evening " 
• 99-- 
100.0 
Morning " 
. 98.4 
98.0