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
On the third, the Symptoms not abating, he lost about ten Ounces of
Blood. He had taken a cooling nitrous Powder every four Hours; this was
now changed for one more cordial. At Night he grew delirious, his Fever
increased, and he had some loose Stools, which were rather encouraged
than restrain'd, as it was hoped they might relieve him. Blisters were
applied to his Head and Arms.
On the fourth in the Morning I was sent for: I found him delirious, with
convulsive Twitchings; his Hands in constant Motion, gathering the
Bed-cloaths; his Pulse quick and weak; his Tongue parched. With some
Difficulty I looked into the _Fauces_; they seemed to be pale in some
Places, intensely red or livid in others, with a glossy Brightness: His
Excrements came away involuntarily; his Eyes were languid, and somewhat
opake; he breath'd with Difficulty, and died in a few Hours after.
In some of the first Cases I met with, the Quickness of the Pulse, the
Degree of Heat, the apparent inflammatory Redness of the Eyes and Face,
and Pain in the Head, some times urged me to order Bleeding, especially
if there were any Marks of a _Plethora_; but in these Cases it did not
appear to have any advantageous Effects: So that, notwithstanding the
Urgency of the Symptoms above-mention'd, it seems proper in general to
omit this Evacuation.
Cupping with Scarification has been applied to the Shoulders and Back of
the Head, in order to remove an acute Pain of this Part, which is often
complain'd of, but, as far as I have been able to observe, without much
Benefit.
It is necessary that the Patient should keep in Bed as much as may be,
tho' the Disease should seem to be slight: It has happen'd, for want of
Care in this Respect, that a Purging has come on, the Redness of the
Skin disappeared, and a Disorder, which with Confinement alone would
probably have gone off in twice 24 Hours, has been render'd tedious and
difficult.
If we are called in at the first, while the Sickness or Vomiting
continues, it will be of Use to promote this Discharge, by giving an
Infusion of Green Tea, Chamomile-Flowers, Carduus, or a few Grains of
_Ipecacuanha_. In some Instances, where the Attack has been severe, and
this Method practised, the Disorder has gone off with more Ease than was
at first apprehended.
If these Symptoms don't abate with the Operation of the Emetic, small
Draughts of Mint-Tea, with a sixth Part of red Port added to it, may be
given frequently; together with some grateful and warm aromatic, cordial
Medicine, every four or six Hours. The _Pulvis Contrayervæ simp._—_comp.
Confect. cardiac._—_Raleigh. Spec. arom. Vinum croceum_; _Aq. Menth.
spirit. Aq. Alex. spirit. cum Aceto_; with others of the like Nature,
may be used for this Purpose.
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