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 the Purging therefore continues long after the first Exacerbation of
the Disease, it may be look'd upon as a dangerous Symptom; for though it
be sometimes restrain'd for the present by Opiates or Astringents, yet
it commonly returns with more Vehemence, when their Efficacy ceases, and
in a short time exhausts the small Degree of Strength remaining.
In this Case they generally spit very little; the _Fauces_ appear dry,
glossy, and livid; the external Tumor grows large; they void their
Excrements without perceiving it, and fall into profuse Sweats;
Respiration becomes difficult and laborious; the extreme Parts grow
cold, and Death in a few Hours closes the Scene; and in no Disease that
I have seen is the Eye so early deprived of its Lustre as in this; for
it is sometimes opake and glassy several Hours before Death; and, as
_Ætius Cletus_ hath observed, is a fatal Presage of its Approach.
A copious Flux of pituitous Matter to the Glands, and other Parts about
the _Fauces_, seem'd to be the Cause of sudden Death, in a Girl about 12
Years old. She was seized in the common Way, with Shivering, Headach,
Sickness, Vomiting, and Purging. The Discharges abated in a few Hours,
and were succeeded by great Heat, Redness of the Skin, and a sore
Throat; the _Uvula_, Tonsils, and, contiguous Parts were red, and so
swell'd in eight or ten Hours, as to touch each other, and seem d to
close the Entrance into the _Pharynx_. She breath'd without much
Difficulty, swallow'd with less Pain than could be imagin'd, and spit up
large Quantities of Phlegm. About six in the Evening she was seized with
a Difficulty of breathing, as if strangled: Those about her rais'd her
up, thinking she was in a Fit; she recover'd herself a little, but
expired upon being again laid down in Bed; in somewhat less than 24
Hours from the first Attack. A large Quantity of viscid Phlegm, with
which, after she was dead, her Mouth appear to be fill'd, together with
the tumefied _Uvula_, Tonsils, and _Velum Palati_, had perhaps jointly
closed the _Rima Glottidis_, and put a Stop to Respiration.
By a Fall in her Infancy she was reduced to the Necessity of using
Crutches. She was big-bon'd, had a good Appetite, and for want of that
Exercise, which Persons at her Age commonly enjoy, seem'd to be
plethoric. These Circumstances perhaps might contribute to this speedy
and unhappy Event.
Accidents of the like kind seem not to have been uncommon while this
Disease continued in _Italy_, according to a Remark of _Cortesius_[29].
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