A case of status lymphaticus / by J.H. Musser and J.T. Ullom.

  • Musser, John Herr, 1856-1912.
Date:
1904
Catalogue details

Licence: In copyright

Credit: A case of status lymphaticus / by J.H. Musser and J.T. Ullom. 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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    each case seemed due to sudden cardiac and respiratory failure. Kundrat reports ten deaths from chloroform in which the thymus was enlarged. Pathology.—The pathological findings in these cases were practically constant, and con- sist of an enlarged thymus, spleen, lymph glands, Peyer’s patches, tonsils, and pharyngeal lymph tissue. Not all these are found in every case, the enlarged thymus, spleen, and some of the lymph glands being found constantly. Cloudy swelling of liver and kidney also is a constant lesion. Histologically we find hyper- plasia and proliferation of the lymphadenoid tissue of the thymus, lymph gland, and spleen, with focal necrosis of the germinal centers ot these organs. The question arises^ does this case conform to the pathology of the disease? We think it does. The one thing lacking is the focal necro- sis and marked hyperplasia of the germinal cen- ters in the thymus. But we think this can be overlooked when there is marked enlargement of the thymus, and the changes in spleen and cervical and bronchial glands are identical with those found in other cases. The pneumonic process, the changes in the heart muscle, and the condition of the air-passages we will take up under the causation of death. Diagnosis.—The diagnosis of the disease can be made, but an opportunity is rarely given.