_Cause._—The cause is an organism to all appearance identical with that
which produces leishmaniasis or kala-azar. Indeed, Oriental sore is a
form of cutaneous leishmaniasis. In all probability infection is conveyed
by sand-flies, but our knowledge is still defective on this point.
_Symptoms._—The incubation period varies from a fortnight to a year. The
sore may occur on any exposed part of the body, but is most common on the
forearm, hands, and face. Multiple sores are frequent. The first sign is
a small red, scaly papule, which increases in size and eventually breaks
down, forming a painless ulcer, with a hard, dry edge. Non-ulcerating
forms occur, but are not common. The condition is very chronic, but
healing usually sets in after six to twelve months. When the ulcer heals
a white or pink scar is left, which is disfiguring.
_Prophylaxis._—Sleep under a sand-fly net, containing 22 holes to the
linear inch. Warn against the danger of infection by personal contact and
the risk of re-infecting oneself by scratching. It is advisable to paint
the sites of all fly and insect bites with iodine as soon as possible.
_Treatment._—The best treatment at present known is intravenous injection
of tartar emetic. This, of course, can be carried out only by a medical
man. Good results have, however, been obtained by applying a 2 per cent.
ointment of tartarate of antimony, and this method can be carried out by
the patient himself. Local injections of emetine have been recommended,
and there are various other ways of treating Oriental sore, but they need
not be here considered.
_Tropical Ulcer._—This is a special and serious form of ulcer found in
all parts of the world, and especially amongst East African natives. It
is found chiefly in the lower third of the leg and in the region of the
foot and ankle.
_Cause._—This is somewhat obscure, but it is believed to be due to
certain organisms possibly acting in association with one another.
_Symptoms._—The condition starts as a small, tender, and often itchy
papular bleb, surrounded by a dense inflammatory zone. An ulcer results,
which is more or less painless, and one of the characteristics of which
is the way it spreads and destroys all the tissues with which it comes
in contact. It is often mistaken for a syphilitic ulcer, but it does not
usually yield to anti-syphilitic remedies.
_Treatment._—The best remedy would appear to be formalin, though the
iodoform ointment mentioned under ulcers may aid the condition. It can be
effectually treated only by a medical man.
_Veldt Sore._—This condition, which is also known as Barcoo Rot, is
frequently in evidence in countries with hot, dry climates, as, for
example, Egypt, Palestine, South Africa, Mesopotamia, etc.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account