The pathology of scarlatina, and the relation between enteric and scarlet fevers / by John Harley.

  • Harley, John, 1833-1921.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: The pathology of scarlatina, and the relation between enteric and scarlet fevers / by John Harley. 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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    tlie accession of the scarlet fever^ and the seventy-fifth from the commencement of the enteric. Case 31. Severe attack of scarlatina; convalescence on the twentij-seventh day ; slight relapse with a trace of albumen in the urine on the thirty-second day ; a second renewal of pyrexia on the forty-first day ; diarrhcsa and pneumonia on the forty-third; continuance of the symptoms; h(smorrhage from the bowels on the forty-seventh and fifty-first day, when she died.—Sophia N—, set. 12, was admitted on the second day of a severe attack of scarlet fever. Pulse 140, great pros- tration, sordes, and a general scarlet rash. The rash persisted for six days and was followed by free desquamation. On the ninth day the glands at the right angle of the jaw began to swell, abscess formed, and pus was evacuated by three succes- sive incisions, a free discharge continuing for twenty days. There was also slight swelling of the glands on the left side of the neck, and for some days ashy mucous ulcers of the tongue. During the first week the bowels were constipated, and one or two doses of house medicine were required; during the fifteenth and sixteenth days there was diarrhoea. The fever continued high until the twenty-second day, the pulse ranging from 128 to 140. From this time -she began to improve. On the twenty-fifth day she enjoyed fish diet, and was soon afterwards allowed full diet. Her appetite was moderate and the bowels were rather sluggish. On the thirty-second day the temperature rose 2°, and there was a trace of albumen in the urine. This disappeared by the forty-first day. On the evening of this day there was a renewal of the pyrexia with nausea and vomiting. On the forty-third day, pneumonia of the right lung was declared, and the bowels were very loose. The pneumonia increased, and the diarrhoea continued, accompanied by moderate hsemorrhage from the bowel on the forty-seventh and again on the fifty-first day, when she died, the event being chiefly determined by the pulmonary mischief. No post-mortem examination was made.