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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    Gall-bladder collapsed, pale, and contained only a drachm of clear, watery, orange-coloured, non-alkaline bile. Spleen turgid and enlarged. Mesenteric glands turgid, many as large as French beans, generally pale. The lower part of the ileum was purple externally, pale internally. All the Peyerian glands were pale, swollen, abruptly prominent, and spongy-looking, and the whole of the solitary glands greatly enlarged, and in the condition described in the former case. Case 6. Death on the fourth day of scarlatina; gene- ral inflammation of the mesenteric and intestinal glands ; moderate j)sorentery.—Charles S—, set. 10^, died of ex- haustion on the fourth day of very severe scarlatina. The rash was very intense, the whole skin being of a fiery damask-red colour. The body was well nourished, and the skin discoloured with fine purple spots and blotches. The heart was not examined; the kidneys were congested; the gall-bladder contained two ounces and a quarter of dark greenish-brown bile, very slightly ropy, neutral; sp. gr. ]0132, giving a reddish-purple colour with Pettenkofer^s test 1000 grain measure yielded, at 212° Fahr., 36*4 grains of dark greenish-brown extract. Spleen four ounces and a half, almost as firm as liver. The mesenteric glands were turgid and purple, or pale, and greatly enlarged, so as to convert the mesentery into a large thickened lobulated mass, some of the glands being as large as a pigeon's egg. The lower portion of the ileum was purple, and Peyer's patches in the last six inches were greatly swollen and injected, forming cocks- comb-like folds; above this they were merely swollen and spongy, as in the first stage of enteric fever. Besides this there was general psorentery, but the glands were not so much swollen as in the preceding two cases. The csecum was severely congested, and the solitary glands of the colon were swollen and prominent, a portion being of a purple colour. Case 7.—Death on the fourth day of scarlatina ; general