And again, with the different variety of fevers, the record will often depend upon the period of observation; an intermittent [fever], with well-marked stages, will, if neglected, often in a few days become an equally well-marked remittent, or typhomalarial [fever], or a little further on will prominently exhibit advanced typhoid symptoms; or perhaps a few weeks or months later [the man will] die from chronic diarrhoea or dysentery.
During the Civil War what was being diagnosed as typhoid and typhomalarial fevers were considered the result of "crowd poisoning." Large groups of soldiers, crowded into unhealthy camps strewn with animal carcasses and human and animal excrement, breathed the unhealthy emanations.
