requently, however, urticaria, (nettle-rash)
perspiration and other pustules are to be noticed.

The great variety of symptoms indicates that innumerable peculiarities
may occur in the course of typhus. In some cases it is so light and
indistinct (walking typhoid) that it is extremely difficult to diagnose
it. In other cases pneumonia or unconsciousness, headache or stiff neck
are indicated so overwhelmingly, that it is well-nigh impossible to
recognize the underlying illness as typhus. In such cases one speaks of
lung and brain typhus.

_Recurrence_:--

In about 10% of all cases recurrence is observed, mostly caused through
mistakes in diet, leaving bed too soon, and excitement. Usually in such
relapses the fever takes the same course as the original attack, but is
much less intense. Although such secondary attacks are not very
dangerous as a rule, great caution should be observed, especially in
regard to diet, which must be followed in the strictest way until all
danger has passed.

Complications and Subsequent Troubles:--are very frequent and a serious
menace to life.

The most important are hemorrhage of the brain, meningitis, erysipelas,
gangrene of the skin and bones, wasting of the muscles, fibrinous
pneumonia; pericarditis, and frequently weakness of the heart with its
consequences.

Purulent inflammation of the middle ear is one which deserves special
attention.

Loss of hair is a frequent occurrence during convalescence, owing to the
ill-nourished condition of the skin; this, however, is but a temporary
feature soon succeeded by renewed growth.

_The prognosis_ or forecast of typhus is not altogether bad,
notwithstanding the gravity of its symptoms and the dangers of its
course.

Statistics show that the mortality from typhus does not exceed 7% but
each complication makes the result more uncertain and the outlook less
hopeful. In the event of perforation of the intestines and severe
internal hemorrhage supervening, the chances of saving life are slender.

_D. Treatment._

The treatment of typhus requires, in the first place, a correct judgment
of the physical condition of the patient in determining the fever
treatment to be applied. Success in severe cases of typhus will only be
secured by those who understand the correct methods of treating the
skin. Robust patients, with reserve energy and resisting power, may
receive the unrelaxing application of repeated whole packs or cool full
baths. Th