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
The African race would seem to be peculiarly obnoxious to the small-pox:
the actual number of people of colour brought to the hospital being
greater than the whites, and the proportionate mortality much more
considerable; being as four deaths to six cases of disease in the
former, and two deaths to four cases of disease in the latter. As
regards sex, the proportion of deaths among the males was three-fifths,
among the females two-fifths, of the entire number under treatment in
the hospital. In both, the violence of the disease, and the number of
anomalous symptoms and complications, depended greatly on their prior
dissolute life. Drunkards among the men, and prostitutes among the
women, rarely escaped death. The former had the roseate eruption, and
the latter the confluent, on which dark spots as if gangrenous were a
frequent appearance. Menorrhagia, at any time in the course of the
disease, was a bad augury.
The better to elucidate the nature of this dire malady, we shall now
give from our records some cases of fatal termination, and add an
account of the appearances on _post mortem_ examination of these same
subjects.
CASES.--I. Wilhelmina Smith, white, aged nineteen years, of irregular
habits, has a well defined circular scar, with smaller pits in it, on
the left arm; but has no recollection of having been vaccinated, nor
does she remember ever having heard her parents, who are now dead, speak
of it.
She was taken sick on Thursday night, the 11th of March, 1824, and in
the morning had vomiting and pains in the back. On the 13th in the
afternoon, the eruption first appeared.
15th. Admitted and visited. Eruption on face slightly prominent, is red,
tuberculous and rough--small and scattered on the arms, like flea bites.
Legs nearly clear: they have many cicatrices, especially on the shin and
outer part. There is at present an ulcer above the inner ancle. Tongue
yellow, and furred in centre, white at borders. Pulse small and
threaded.
16th. Eruption rising vesicular from face and limbs; no fever; tongue
greenish and loaded; coughs much.
17th. Eruption fine, dry, flat, and partly indented in centre on the
face, which burns much; skin red and inflamed; on limbs same appearance,
but eruption less copious; pulse small, threaded, and frequent; tongue
furred and yellow in centre; complains of pain in deglutition; cough.
18th. Eruption on face dry, flat, white and small in size, and copious;
rather more elevated on limbs and neck; tongue dry and furred; pulse
frequent and threaded; throat sore.
19th. Eruption same as yesterday; pulse scarcely to be felt; skin cool;
coughs with an appearance of choking.
Dead at midnight. She retained her muscular strength and ability to sit
up to the last.
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