Observations on Malta fever

Abstract

An endemic disease of long duration, characterised by fever, continuous, remittent, and intermittent in type, in most cases enlarged spleen, profuse perspiration, sudamina, constipation, relapses almost invariably, accompanied by pains of a rheumatic or neuralgic character, sometimes swelling of joints or orchitis, ending almost always in complete recovery; in fatal cases enlargement and softening of spleen, congestion of the duodenum and upper part of jejunum, no swelling or ulceration of Peyer's glands, and the constant occurrence in various organs of a species of micrococcus.