The fungus-disease in India : a report of observations / by T.R. Lewis and D.D. Cunningham.

  • Lewis, T. R. (Timothy Richards), 1841-1886.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: The fungus-disease in India : a report of observations / by T.R. Lewis and D.D. Cunningham. 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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    the foot. On making a section, the knife passed readily Description of speci- throug-h the tai'sal and metatarsal men I—Greasy aspect , t it i ji i of the preparation. Dones and througli the lower ex- tremity of the tibia. All these hones were extremely soft and opened-out in texture. The degree of softening varied in different places ; in many it had proceeded so far as to render the bones quite spongy and so friable as to be easily broken up under the finger-nail even on the surface, and in some places the softening had pro- ceeded to such an extent as to replace the bone-texture entirely by a soft greasy pulp. In those cases in which the softening was only partial, the outline of the bones could yet be traced, but in other places the latter were quite indistinguishable from the surrounding degene- rated tissues. One or two examples of cavities in the substance of the bones were also present,—smooth, and lined by a distinct membrane. Close to several of the articulations there was some slight roughness of the sur- faces of the bones. The muscular and tendinous structures of the foot were well preserved and apparently unaffected by the disease; but there was a general thickening of the areas normally occupied by fat and connective tissue, and all the structures were much obscured by the extreme abundance of fatty matter pre- sent. There were numerous cavities in the substance of the foot, lined by smooth membrane and con- taining oily and fatty material. Some of them were quite isolated, but others communicated with one an- other, and with the exterior, by means of the channels previously alluded to. One cavity of large size was situated immediately above the metatarsal bones; it was lined by a gelatinous pulp of orange yellow colour and contained a large quantity of oily matter. The extremely oily condition of all the tissues was Abundance of oily Hiost remarkable, the bones were re- matter in the tissues. duccd to mevG uiasses of soft fat pene-. trated and supported by remains of the osseous tissue; and it was impossible to touch the preparation without smearing the fingers, knives, and other instruments with a thick coating of greasy oil, while the spirit in which it