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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    Case 3. Death on the fourth day of scarlatina; general inflammation of the mesenteric and Peyerian glands ; jjsoren- tery. — Emily H—, jet. 11, died comatose. There was diarrhoea on the second day. Glauds of the neck enlarged. The right cavities of the heart, and the large vessels con- nected therewith, blocked with firm yellow clots, as in the preceding case. The gall-bladder full of pale, watery, orange-tinted bile. The spleen and mesenteric glands moderately swollen ; some of the latter purple. The blood- vessels of the lower third of the ileum were completely in- jected, and the agminated glands of this portion of the bowel swollen and inflamed, those near the valve being furnished with cockscomb-like processes. The solitary glands were all swollen, forming white hardish eminences about the size of hemp-seeds; general psorentery. Case 4. Death on the fourth day of scarlatina; general inflammation of the mesenteric and PeyeriaJi glands; psoren- tery.—John F—, set. 5, died rather unexpectedly of oppressed breathing and failure of the hearths action. Autopsy three hours and a half after death. Skin discoloured with fine and coarse dark purple spots, almost confluent in the groins and on the sides of the body. Temperature, under the lifter, 100'9° F. The right cavities of the heart contained colourless entangled clots branching into the lungs and neck. Bile abundant, watery, of a greenish-yellow tint. Spleen three ounces and a half. The mesenteric glands, and the agminated glauds of the ileum, from the jejunum downwards, were purple and swollen; the solitary glands in the condition of general psorentery, and rough to the touch. The solitary glands of the large intestine were swollen and purple. Case 5. Death on the fourth day of scarlatina; general inflammation of the mesenteric and Peyerian glands; psoren- tery.—George B—, set. 30, died delirious and prostrate; the body was fairly developed ; the skin mottled with a lobster- red, becoming purple about the shoulders, and on the sides of the chest and loins. Heart-clots as in the previous case.