And when the sun went down, he ran again
Sweating sickness, also known as the “English sweate” (Latin: sudor anglicus), was a mysterious and highly virulent disease that struck England, and later continental Europe, in a series of epidemics beginning in 1485. The last outbreak occurred in 1551, after which the disease apparently vanished. The onset of symptoms was dramatic and sudden, with death often occurring within hours. Its cause remains unknown. One suspect is a hantavirus. (…)
The symptoms and signs as described by Caius and others were as follows: The disease began very suddenly with a sense of apprehension, followed by cold shivers (sometimes very violent), giddiness, headache and severe pains in the neck, shoulders and limbs, with great exhaustion. After the cold stage, which might last from half an hour to three hours, the hot and sweating stage followed. The characteristic sweat broke out suddenly without any obvious cause. Accompanying the sweat, or after that was poured out, was a sense of heat, headache, delirium, rapid pulse, and intense thirst. Palpitation and pain in the heart were frequent symptoms. No skin eruptions were noted by observers including Caius. In the final stages, there was either general exhaustion and collapse, or an irresistible urge to sleep, which Caius thought to be fatal if the patient was permitted to give way to it. One attack did not offer immunity, and some people suffered several bouts before succumbing.
The malady was never seen again in England after 1578 although a similar illness, known as the Picardy sweat, occurred in France between 1718 and 1861, but was less likely to be fatal and was accompanied by a rash, which was not a feature of the earlier outbreaks.
The cause is the most mysterious aspect of the disease. Commentators then and now put much blame on the general dirt and sewage of the time, which may have harboured the source of infection. (…)
Relapsing fever has been proposed as a possible cause. This disease, which is spread by ticks and lice, occurs most often during the summer months, as did the original sweating sickness. However, relapsing fever is marked by a prominent black scab at the site of the tick bite and a subsequent skin rash, whereas contemporaries did not note these relatively obvious signs, so the identification is far from certain.
Chronic fatigue syndrome has been suggested by Chaudhuria and Behan based on a 1934 article of epidemic myalgia outbreaks that share clinical similarities with Bornholm disease.
More recently, a hantavirus has been proposed and appears to be an interesting candidate for consideration in the etiology of this illness.[4] However, certain clinical features of hantavirus outbreaks do not seem to match the progression of the sweating sickness; specifically, while hantavirus has only rarely been observed to be transmitted from one human to another, this is believed to be a significant mode of transmission of the sweating sickness.
photo { Helen Korpak }
