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
In this Disease it is at all times necessary to attend very carefully to
the Diarrhœa. For the most part it ceases with the Vomiting, in less
than twelve Hours from the first Attack: If it continues longer than
this Period, it is necessary to check it, otherwise it occasions great
Faintness, sinks the Strength, and in the End produces very dangerous
Consequences. The aromatic Cordials above-mention'd, if they are given
plentifully, commonly take off this Symptom, as well as the Vomiting;
but if they prove ineffectual, Recourse must be had to Astringents and
Anodynes, in proportion to the Exigence of the Case; such as the
_Confectio Fracastorii_, or _Elect. e Scordio cum Opio_, dissolved in
small Cinnamon-water, and given _post singulas sedes_.
It is common for the Redness, so often mention'd, to appear upon the
Skin, as these Discharges abate: It has happen'd that this Colour has
gone off sometimes, and the Patient has been brought into imminent
Danger, upon giving a mild Cathartic: Which Circumstances, as they point
out a close Connexion between them, indicate the Use of a warm Regimen,
notwithstanding the Heat and other Symptoms might seem to forbid it.
A Girl about 9 Years old, of a slender Make, but healthy and active, was
seized with this Disorder. The Sickness and Vomiting went off, and the
Redness of the Skin appeared soon after: The Apothecary who attended
her, judging it an inflammatory Case, as she complained of her Throat,
bled her, gave her a cooling Purge the next Day, and afterwards some
nitrous Draughts. A plentiful Efflorescence which cover'd the Face,
Neck, and Arms, suddenly disappeared; a Diarrhœa came on, she grew
restless, faint, and insensible. In this Condition I first saw her on
the third Day of the Disease; she frequently sigh'd, her Pulse was
quick, small and hard, without any remarkable Colour upon her Skin; and
the Swelling on each Side the Neck large: It was not possible to examine
the _Fauces_, as she lay in a comatous helpless Condition, her Stools
and Urine coming away insensibly. A warm cordial Mixture was frequently
given her, upon which the Diarrhœa soon abated; and the next Day the
Efflorescence again appeared upon her Face and Arms. From this time she
continued to recover, tho' slowly, and was for some time attended with a
Cough and hectic Heats.
Another Symptom which requires our Attention in the Cure of this
Disease, is an excessive Faintness: Of this they generally complain soon
after they are taken ill, and continue to do so, if sensible, till the
Distemper begins to abate: The Urgency of this Symptom seems to indicate
the Degree of Danger: It is more or less violent, as the Disease is mild
or malignant; and an Abatement of it may be look'd upon as a sure
Presage of Recovery.
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