A contribution to the study of rheumatic iritis / by F.J. Poynton and Alexander Paine.

  • Poynton, F. J. (Frederic John), 1869-1943.
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: A contribution to the study of rheumatic iritis / by F.J. Poynton and Alexander Paine. 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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    previously from rheumatic fever ; also that the diplococcus of the gonorrhoeal infection was one of the earliest known of this type of micro-organism, and its recognition estab- lished in text-books on hard' and fast lines, which with more mature experience are perhaps a little too hard and fast; and, lastly, that the rheumatic infection equally as much as the gonorrhoeal is liable to lurk in the system for long periods. Both diseases may theoretically be causes of iritis. Both linger in the system. We are thus in agreement with Mr. Lawford’s opinion on the imperfection of this proof of the gonorrhoeal origin of many cases of iritis as expressed at the British Medical Association meeting in August, 1901. The Object of the Communication. The object of our communication is to show that acute iritis may result in rabbits from experimental inoculations with a diplococcus or micrococcus which is a cause of rheumatic fever. Other observers—for example, Birch-Hirschfeld—have produced septic panophthalmitis by inoculations from cases of septic endocarditis, but in our two cases the micro- organism was isolated, first, from a case of ordinary rheumatic fever in a child, and, secondly, from a case of malignant endocarditis of rheumatic origin, and in neither animal did there result septic panophthalmitis. The cases we will detail immediately, but we first emphasise the fact that these inoculations were intra- venous—into the auricular veins of rabbits,—and not local into the eye. Had they resulted from local inocu- lations we should not personally have attached any importance to them. The Investigation. Case 1. In 1899 a boy set. 9 years, who was suffering from morbus cordis, developed, while under observa- tion, active rheumatism—that is to say, arthritis,