A treatise on the pneumonia of children / by Rilliet et Barthez ; translated from the French by S. Parkman.

  • Rilliet, F. (Frédéric), 1814-1861.
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the pneumonia of children / by Rilliet et Barthez ; translated from the French by S. Parkman. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    arborescent vessels or congestions more vivid than in the health}' state; thrice a white softening of the mucous membrane in a con- siderable extent; nine times redness and softening in the patches of Peyer; once only any ulceration of these patches. Every one is aware that the glands of Brunner appear in children generally very protuberant under the mucous membrane, dotted, or reticulated with black, without any actual morbid affection. We have, how- ever, found them sometimes so red, soft, and swollen, as no longer to be regarded in the normal state. Large Intestine. It is here that we find the most frequent complications of pneu- monia. But we must remark, that inflammations of this organ, together with those of the lungs, are, perhaps, the direases most fatal to childhood. The alterations may be classed as follows : — 1. Colitis, with redness, thickening, and softening. 2. Abnormal dilatation of the follicular orifices. 3. Colitis, advanced to ulceration, with or without false mem- brane. These ulcerations have always appeared sealed in the follicles, more numerous at the end of the intestine, and never in the caecum. 4. Softening, without notable change of colour, and with a nor- mal thickness. 5. The easy separation of the mucous membrane from the sub- jacent tissue, with or without redness. 6. Ecchymosis. To give, in a few words, our conclusions, the digestive tube has been the organ most frequently complicating by its affections the pneumonia—hardly can we count nine cases where it was through- out healthy. The greater part of these affections, especially of the large intestine, was chronic, consequently antecedent to the pneu- monia; in proof of this, we have the fact that, in the great majo- rity, the pneumonia developed itself in patients labouring under some anterior malady. The other abdominal organs were either healthy, or their slight alterations hardly deserve attention :—we may merely remark, however, that in the case of hemorrhagic measles, the kidneys presented numerous ecchymoses, with thick- ening of the mucous membrane of their pelves.