Hydatids from the left lung, subsequently to the occurrence of typhoid fever, complicated with double pneumonia.

  • Black, Cornelius, 1822-1887.
Date:
[1853]
Catalogue details

Licence: Public Domain Mark

Credit: Hydatids from the left lung, subsequently to the occurrence of typhoid fever, complicated with double pneumonia. 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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    of such cells were yet in a thickened condition, and that the free movement of their individual fibres was thereby impeded. I now, at the request of my patient, who thought herself sufficiently well to dispense with my services, discontinued my attendance. For sometime she still continued to improve; and on the 16th of the following August, she was delivered of a fine, healthy child, and subsequently had a good recovery. On February 23rd, of the present year, I was once more requested to visit her. She now told me, that in October, 1852, her cough and expectoration returned with a “ slight cold;” that the former had gradually increased in severity, and the latter in quantity; and that, for four months, she had fre- quently “ coughed up small bladders of water,” which in- variably burst immediately before passing into the mouth, and filled the latter with a “kind of salt water.” She further remarked that, on the expulsion of these “bladders of water,” a quantity of blood, varying from a teaspoonful to a wine glass- ful, together with now and then a quantity of pus, was also expelled by cough ; that for some days previously to their expulsion the quantity of sputum was diminished, and the cough more troublesome ; and that she could tell, by her sensa- tions, the route by which the hydatids were expelled, which she pointed out as extending from the lower angle of the left scapula, along the inferior margin of the base of the corres- ponding mamma, to the lower part of the sternum. Her appearance, at this time, bespoke considerable emacia- tion. Her countenance was pale and haggard; her eyes were sunk, conjuctivae pale, and the pupils slightly dilated; the alse nasi were in visible motion ; the teeth seemed to project; the malar bones were prominent, and in the skin over these there occasionally lingered a hectic flush. The skin was generally hot; the pulse 110, small, feeble, and very easily stopped ; the tongue was covered with a slight, white fur; more or less thirst, together with loss of appetite, always existed; the bowels were regular; and the urine, natural in quantity, was loaded with lithiates. Profuse perspirations harassed her during the night, whilst her debility, during the day, was so great, that she was frequently unable to leave her bed; and