History of the Peloponnesian War

That year, as was agreed by all, happened to be unusually free from disease so far as regards the other maladies; but if anyone was already ill of any disease all terminated in this.

In other cases from no obvious cause, but suddenly and while in good health, men were seized first with intense heat of the head, and redness and inflammation of the eyes, and the parts inside the mouth, both the throat and the tongue, immediately became blood-red and exhaled an unnatural and fetid breath.

In the next stage sneezing and hoarseness came on, and in a short time the disorder descended to the chest, attended by severe coughing. And when it settled in the stomach, that was upset, and vomits of bile of every kind named by physicians ensued, these also attended by great distress; and in most cases ineffectual retching followed producing violent convulsions, which sometimes abated directly, sometimes not until long afterwards.

Externally, the body was not so very warm to the touch;

it was not pale, but reddish, livid, and breaking out in small blisters and ulcers. But internally it was consumed by such a heat that the patients could not bear to have on them the lightest coverings or linen sheets, but wanted to be quite uncovered and would have liked best to throw themselves into cold water—indeed many of those who were not looked after did throw themselves into cisterns—so tormented were they by thirst which could not be quenched; and it was all the same whether they drank much or little. They were also beset by restlessness and sleeplessness which never abated.

And the body was not wasted while the disease was at its height, but resisted surprisingly the ravages of the disease, so that when the patients died, as most of them did on the seventh or ninth day from the internal heat, they still had some strength left; or, if they passed the crisis, the disease went down into the bowels, producing there a violent ulceration, and at the same time an acute diarrhoea set in, so that in this later stage most of them perished through weakness caused by it.

For the malady, starting from the head where it was first seated, passed down until it spread through the whole body, and if one got over the worst, it seized upon the extremities at least and left its marks there;

for it attacked the privates and fingers and toes, and many escaped with the loss of these, though some lost their eyes also. In some cases the sufferer was attacked immediately after recovery by loss of memory, which extended to every object alike, so that they failed to recognize either themselves or their friends.