The symptoms and pathological changes in the upper air passages in influenza / by J. Solis-Cohen.

  • Solis-Cohen, Jacob da Silva, 1838-1927.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: The symptoms and pathological changes in the upper air passages in influenza / by J. Solis-Cohen. 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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    oedematoid pharyngitis, general amygdalitis, and laeunal amygdalitis ; inflammation and tumefaction of the lymphoid nodules at the vault of the pharynx and in the base of the tongue; pseudo-membranous exudation of the tonsils, pal- ate, pharynx, tongue, and larynx; superficial, oedematous, haemorrhagic, fibrinous, subglottic, purulent, and ulcerative lary ngitis; abscess of the larynx ; simple and haemorrhagic tracheitis—all this but an exemplification of the general Protean characters of influenza in general. To these must be added submaxillarv and cervical infil- tration of the connective tissue with lymph, simulating the more serious lesion known as Louis’s or Ludwig’s angina, and sometimes compressing the larynx. On incision into this tumid mass there is no evacuation of pus either imme- diately or a day or two after, but only blood and serum or a serolymph exude, as occurred in a few cases I have seen in consultation during the pandemic. These lesions occur but in a small proportion of the ca- tarrhal cases. It is to be hoped that some member of the profession with sufficient leisure will study the records of these mani- festations with a view of learning their proportionate fre- quency. The congestion of the mucous membrane is passive rather than active, due to venous stasis rather than arterial congestion. The color is a violet-red rather than a carmine. The membrane looks sodden, tumid, and pasty from lymph stasis, and from exudations of lymph on the surface. Ec- chymoses take place in irregular numbers and distribution, and haemorrhages, for the most part slight, in a certain pro- portion. In the cedematoid cases muco-lymph, rather than sero-mucus, is discharged from incised wounds, and the re- lease of serum, as in ordinary oedema from venous stasis, is seen but exceptionally.