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
These were the Symptoms in general, and they judged of the Event by the
Mildness of their Progress, or the contrary: Tho' it was agreed, that
nothing could be more fallacious than this Disease; and that the most
Experienced were often deceived in their Prognostic.
If the Redness above described, which appeared at the first being
seized, was succeeded by an Ulceration, without any of that Whiteness
(which for the future I shall call Sloughs), if the Swelling about the
Neck and Throat was not large, if the Patient discharged by the Mouth
considerable Quantities of thin pituitous Matter, if the Breath was not
fetid, and the Patient had no Disgust to his Food, if the Eyes retain'd
their proper Lustre, all was judged to be secure.
On the other hand, if this Lustre was in any degree faded[19], if the
external œdematous Tumour was very large, if the Breath stunk, if the
_Fauces_ were livid or black, with a Coma, or Delirium, if with these
the Patient had an Aversion to his Nourishment, and his Breathing became
difficult or laborious, the Danger was judged to be extreme.
It was not observed that the Disease had any stated Crisis; or that the
Signs of Recovery, or Death, appeared on any certain Day. Some died on
the first, others on the second, third, and on every Day, to the
seventh. Those who survived the fourteenth, were thought to be out of
Danger, at least from the Disease itself[20]; tho' some dropp'd off
unexpectedly, after a much longer Reprieve[21].
The Consequences of this Disease were often felt a long time after it
had ceased: An excessive Languor and Weakness continued for many Months;
and the Voice or Deglutition was frequently affected, so as to be
perceivable in some almost a Year after[22].
It was however observed, that notwithstanding the Disease most
frequently was accompanied with Symptoms of pestilential Malignity, yet
it sometimes appeared with a much more favourable Aspect; its Progress
not being so quick, nor its Symptoms so violent and dangerous, as hath
here been described to be the Case in general[23]. At its first breaking
out in any Place it was commonly the most severe; it then spared no Age
or Sex, but swept off Adults together with Infants: By degrees it became
less violent, and at length either wholly disappeared, or was of so
little Consequence as to be disregarded.
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