On scarlatina : in a letter addressed to his son, in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligna vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls.

  • Ingalls, William, 1769-1851.
Date:
1837
Catalogue details

Licence: Public Domain Mark

Credit: On scarlatina : in a letter addressed to his son, in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligna vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    generally proved innocuous; and that, no advantage having been derived from keeping the affected parts warm by ban- dages, but on the contrary believing them to be injurious, directions were given to leave them uncovered, till the signs of maturation became evident. The only precaution neces- sary to be observed, was to guard against cold by keeping the patient in a warm room. These tumours perhaps, modified by the action of the virus peculiar to scarlatina, occasionally made their appearance simultaneously with the onset of the d isease, but they are more generally the consequence of irritation caused by the soreness of the throat. They are subject to the usual termi- nations of inflammation; resolution, suppuration and gangrene. They sometimes disappear by spontaneous resolution, perhaps never by the influence of medicaments alone; suppuration, as mentioned above, not being promoted but retarded by the remedies usually employed in the treatment of phlegmonous inflammation, its formation has been commonly left to nature; cases terminating in gangrene have never come under my cog- nisance. The opening of the abscess. Where a phlegmon has suppurated, and in a fit state to be lanced, the opening must be made with great caution, as it is formed in the vicinity of glands furnished with large blood vessels, which are lia- ble to be injured by puncture, or ruptured when the pus is evacuated for want of due support. In either case a fatal hsemorrhage may ensue. In the early part of my practice this accident happened to the patient of an eminent and experi- enced practitioner in opening an abscess in the region of the submaxillary gland: it is probable the facial artery was wounded. Freq,uency op Phlegmon. In some epidemics phlegmons occur more frequently than in others. In the epidemic that