A History of Epidemic Pestilences: From the Earliest Ages, 1495 Years Before the Birth of our Saviour to 1848: With Researches into Their Nature, Causes, and ProphylaxisBascome, Edward
History
A History of Epidemic Pestilences: From the Earliest Ages, 1495 Years Before the Birth of our Saviour to 1848: With Researches into Their Nature, Causes, and Prophylaxis
Bascome, Edward
Epidemics -- History
Dr. Wollaston’s inquiries were very minute; he was told that in about
four, five, or six days, the diseased leg became somewhat less painful,
and gradually turned black, appearing at first covered with spots as
if it had been bruised; then commenced the affection of the other
leg, with the same excruciating pains, and in a few days thereafter
that also began to mortify: in a very little time both legs were
perfectly sphacelated: the mortified parts separated from the sound
spontaneously, the attending surgeon having in most of the cases no
other trouble than merely to saw through the bone, with little or no
pain to the patient: the separation took place generally about two
inches below the knee; in some, rather lower, and in one instance the
feet separated at the ankles without any surgical aid; in others the
separation was less perfect. The eldest girl had one leg taken off, and
the other was entirely sphacelated, but the surgeon delayed removing
it, owing to a large abscess which had formed under the hamstrings,
attended with a swelling of the thigh. The mother’s right foot came
off at the ankle-joint, while the other leg, wasted to the bone, was
black and extremely fœtid, what little remained of flesh being quite
putrid and almost dried. In one child alone was one of the legs saved,
but with the loss, however, of two toes even from that. Three of the
children lost both legs, and another child both its feet. The father
was attacked about two weeks after the rest of the family, but in a
slighter degree, the pain being confined to two fingers of his right
hand, which turned blackish and withered for some time, but then got
better, and he recovered the use of them.
It is remarkable that during the time of this dreadful calamity the
whole family are said to have appeared well in some respects; that is
to say, they ate heartily, and even slept well when the pain began to
abate. When Dr. Wollaston saw them, they all seemed free from febrile
symptoms, except the girl already mentioned, who had an abscess in the
ham. The mother looked emaciated, and had but very little use of her
hands. The rest of the family seemed well; one poor boy in particular
looked as healthy and florid as possible, and was sitting on his bed,
quite jolly, drumming with his stumps!
On inquiry, it was evident that this disease proceeded from eating
bread made from spoiled wheat. Another labouring man, who had eaten of
the same bread, was affected with a numbness in both hands for about
four weeks from the 9th of January: they were continually cold, and the
skin peeled off his fingers’ ends: one thumb, he says, remains without
any sensation. A nurse who had lived with them from the beginning of
their illness was not affected.
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