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
It is not certainly known how much longer it remained in these
Countries, or to what others it was communicated at that time, its
Declension being as obscure as the Causes it sprung from. That it wholly
disappeared in these Parts, soon after the Time above-mention'd, seems
probable, from the Silence of those Physicians, who have published their
Observations made in the Places, which had so severely felt the Effects
of this Distemper.
Several Writers, as _Wierus_[4], _Forrestus_[5], _Ramazzini_[6], and
others, take notice of epidemic Affections of the Throat, in some
respects resembling the Disease here described; but a little Attention
to the Symptoms of each, will, I think, discover an essential Difference
between them. The same may be said of the Sore Throat and Scarlet Fever,
which shew'd itself at _Edinburgh_ in 1733[7].
_Tournefort_, in his Voyage to the _Levant_[8], seems to have found the
Disease we are treating of in the Islands of the _Archipelago_; at least
as far as one can judge from the imperfect Description we have of it.
His Account is as follows.
"When we were in this Island (_Milo_), there raged a terrible Distemper,
not uncommon in the _Levant_: It carries off Children in twice 24 Hours:
It is a Carbuncle or Plague-Sore in the Bottom of the Throat, attended
with a violent Fever. This Malady, which may be called the Child's
Plague, is epidemical, tho' it spares adult People. The best way to
check the Progress of it, is to vomit the Child the Moment he complains
of a sore Throat, or that he is perceived to grow heavy-headed.
This Remedy must be repeated, according as there is Occasion, in order
to evacuate a sort of _Aqua fortis_, that discharges itself on the
Throat. It is necessary to support the Circulation of the Juices, and
the Strength of the Patient, with spirituous Things; such as the
_Theriaca_, _Spir. vol. oleos. aromat._ and the like. The Solution of
_Liquid Styrax_ in Brandy is an excellent Gargarism upon this Occasion.
Tho' it is a Case that requires the greatest Dispatch, the _Levantines_
are seldom much in Haste in the Cure of any Disease."
This Account does not disagree in general with that which has been left
us of the _Morbus strangulatorius_; only he is singular in affecting it
to arise from a kind of _Aqua fortis_ discharged upon the Parts: But his
favourite Study had engrossed his Attention, and to this we must impute
both the present Mistake, and his Want of sufficient Accuracy and
Precision, when he treats upon medical Subjects.
Public-domain text, read in full here on John Shaqi.
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