Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
Of about fifty cases of injuries of this kind, of various degrees of
severity, which I have collected from different sources, at least twelve
were instances of infection from puerperal peritonitis. Some of the
others are so stated as to render it probable that they may have been of
the same nature. Five other cases were of peritoneal inflammation;
three in males. Three were what was called enteritis, in one instance
complicated with erysipelas; but it is well known that this term has
been often used to signify inflammation of the peritoneum covering the
intestines. On the other hand, no case of typhus or typhoid fever is
mentioned as giving rise to dangerous consequences, with the exception
of the single instance of an undertaker mentioned by Mr. Travers, who
seems to have been poisoned by a fluid which exuded from the body.
The other accidents were produced by dissection, or some other mode of
contact with bodies of patients who had died of various affections.
They also differed much in severity, the cases of puerperal origin being
among the most formidable and fatal. Now a moment's reflection will
show that the number of cases of serious consequences ensuing from the
dissection of the bodies of those who had perished of puerperal fever
is so vastly disproportioned to the relatively small number of autopsies
made in this complaint as compared with typhus or pneumonia (from which
last disease not one case of poisoning happened), and still more from
all diseases put together, that the conclusion is irresistible that
a most fearful morbid poison is often generated in the course of this
disease. Whether or not it is sui generis, confined to this disease, or
produced in some others, as, for instance, erysipelas, I need, not stop
to inquire.
In connection with this may be taken the following statement of Dr.
Rigby. “That the discharges from a patient under puerperal fever are in
the highest degree contagious we have abundant evidence in the history
of lying-in hospitals. The puerperal abscesses are also contagious, and
may be communicated to healthy lying-in women by washing with the same
sponge; this fact has been repeatedly proved in the Vienna Hospital; but
they are equally communicable to women not pregnant; on more than
one occasion the women engaged in washing the soiled bed-linen of the
General Lying-in Hospital have been attacked with abscess in the fingers
or hands, attended with rapidly spreading inflammation of the cellular
tissue.”
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