North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
His own patient was ill from April to September, 1753; and exhibited
swelled and bleeding gums, frequently projecting beyond the
teeth,--black and foetid stools, foetid urine, and ecchymoses over
the surface of the body. He treated it with antiscorbutics, internally
and externally, and apparently with success. The patient, however,
relapsed in January, 1754; when M. BERTHE proceeded to a very different,
and far more severe treatment. The gums were pared away, in many
successive operations; and the wounds were washed with aluminous water.
A roll of linen was, during the intervals, kept fastened in the
patient's mouth, for the purpose of allowing the escape of the fluids of
the part; which he apprehended to possess a putrid character, and to
aggravate the original disease, whenever they passed into the stomach.
At length, his patient recovered, and continued well.
It appears to the writer of these notes to be hardly necessary to state,
that M. BERTHE evidently mistook the disease; the latter being in
reality scorbutic, and not a single symptom of gangrene being described
during its whole history.
The same, however, cannot be said of M. CAPDEVILLE; whose "_Observations
sur les effets rapides de la pourriture des gencives_" appear in the
same volume with the foregoing, and immediately subsequent to it.[8]
This writer's case took place after a fever, and no tumefaction of the
gums nor ecchymoses of the skin are mentioned as occurring in it. M.
CAPDEVILLE attended this case in consultation, in 1764; and complains of
too feeble means being employed, as the case was trusted to
antiscorbutics. This treatment ended in death. M. C. refers to VAN
SWEITEN, whose correct account we shall mention; and it is evident that
it was the disease of the Children's Asylum: though he manifests a
strong propensity to connect it with scorbutus, and the "blanchet," or a
species of aphthae, which destroyed a great number of children in the
Foundling Hospital, in 1746. Reference is also made to cases which
occurred in "La Pitie," under the care of CHOPART. Of these, a very
scanty account is given. They terminated in death; after a treatment by
lotions of honey of roses and spirit of vitriol, with emollient and
resolvent cataplasms.
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