An Account of the Sore Throat Attended With Ulcers: A Disease Which Hath of Late Years Appeared in This City, and in Several Parts of the NationFothergill, John
History
An Account of the Sore Throat Attended With Ulcers: A Disease Which Hath of Late Years Appeared in This City, and in Several Parts of the Nation
Fothergill, John
Diphtheria
If a Vein is open'd soon after the Distemper is come on, the Blood
generally appears of a fresh florid Red; the _Crassamentum_ is rather of
a lax gelatinous Texture, than dense or compact; the _Serum_ yellow, and
in a large Proportion.
The Urine is at first crude, and of a pale Whey-Colour: As the Disease
advances, it turns yellower, as if Bile was diluted in it and soon after
the Patient shews any Marks of Recovery, it commonly grows turbid, and
deposits a farinaceous Sediment.
They seldom have any Stools, if the Symptoms are favourable, from the
Time when the Purging, which generally attends the Accession, ceases.
This Discharge is frequently bilious, and without any Pain: Tho' these
Circumstances differ in different Habits.
They complain less of Thirst in this than in other acute Diseases. The
Tongue is generally moist, and not often furr'd: In some nevertheless it
is cover'd with a thick white Coat or Fur, and those who are so
affected, often complain of Soreness about the Root of the Tongue.
The _Uvula_ and _Tonsils_, tho' they are sometimes so much swell'd, as
to leave but a very narrow Entrance into the Gullet, and this Entrance
frequently surrounded with Ulcers or Sloughs; yet the Patients often
swallow with much less Difficulty and Pain than might be expected under
such Circumstances.
They frequently complain, soon after they are taken ill, of an offensive
putrid Smell, affecting their Throats and Nostrils, which oft occasions
Sickness before any Ulcerations appear.
In those who have this Disease in a severe manner, the Inside of the
Nostrils, as high up as can be seen, frequently appears of a deep red,
or almost livid Colour: After a Day or two, a thin corrosive _Sanies_,
or with it a white putrid Matter of a thicker Consistence, flows from
them, which is so acrid, as to excoriate the Part it lies upon any
considerable time. This is most observable in Children, or in young and
very tender Subjects, whose Lips likewise are frequently of the Colour
above-mention'd, and cover'd on the Inside with Vesicles containing a
thin _Ichor_, which excoriates the Angles of their Mouths, and the
Cheeks where it touches them.
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