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VIII.143 - Trench Fever

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Trench fever is a nonfatal, acute disease first described in 1915 during World War I, when it afflicted at least 1 million soldiers on both sides of the conflict. Although initially known by several names, including Polish fever, Meuse fever, and Russian intermittent fever, the descriptive appellation trench fever given to the disease by the British armies in northern France has endured.

Clinical Manifestations

After an incubation period lasting between 14 and 30 days, trench fever elicits typical typhuslike symptoms: sudden onset, chills, headache, dizziness, and body aches and pains. Two of its descriptive names, shin fever and shank fever, recall its characteristic leg pains. Although also known as 5-day fever or quintan fever, the disease usually disables its victims for 5 or 6 weeks. About half of those afflicted suffer only one bout of fever, but the other half may have a number of relapses. Although trench fever is never fatal, it caused a greater loss of manpower during World War I than did any other malady except influenza.

History and Geography

Also known as Wolhynian fever and His-Werner disease, trench fever occurred in Russia, England, France, the Middle East, Italy, Germany, and Austria. It is carried by body lice; hence it follows the pattern of its more deadly relative, epidemic typhus fever, in plaguing armies where hygiene is substandard. The disease became quiescent after World War I ended, but it appeared again on the eastern European front during the second global conflict.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

,American Red Cross. Medical Research Committee. 1918. Trench fever: Report of Commission, Medical Research Committee, A merican Red Cross, ed. Strong, Richard P.. Oxford.Google Scholar
Bruce, David. 1921. Trench fever: Final report of the War Office Trench Fever Investigation Committee. Journal of Hygiene 20.CrossRefGoogle ScholarPubMed
Liu, Wei-tung. 1984. Trench fever: A resumé of literature and a note on some obscure phases of the disease. Chinese Medical Journal 97.Google Scholar
Swift, H. F. 1920. Trench fever. Archives of Internal Medicine 26.CrossRefGoogle Scholar
Warren, Joel. 1965. Trench fever Rickettsia. In Viral and rickettsial infections of man, 4th edition, ed. Horsfall, Frank L. Jr., and Tamm, Igor. Philadelphia.Google Scholar

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  • Trench Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.205
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  • Trench Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.205
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Trench Fever
  • Edited by Kenneth F. Kiple, Bowling Green State University, Ohio
  • Book: The Cambridge World History of Human Disease
  • Online publication: 28 March 2008
  • Chapter DOI: https://doi.org/10.1017/CHOL9780521332866.205
Available formats
×