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
15th. No fever. Face of a deep red colour; eruption rising from it
rather flat, irregular in figure and white at summits. Eyes inflamed. On
limbs the eruption is red at base, vesicular in body and summit: on
trunk in clusters. Tongue yellowish and rather furred. No complaint
made; rests easy; sleeps well.
16th. No fever: tongue moist and a little loaded. Pustules nearly white.
Some yellow, and beginning to dry on summits. Skin between still of a
deep red. Eruption filling on limbs and trunk.
17th. Pulse strong and frequent; skin hot; tongue moist and loaded.
Pustules scabbing on face. Not yet entirely filled on limbs, where they
are in clusters with inflamed bases.
18th. Pustules full and matured on limbs. Running into each other in
places. Tongue dry, brown, and furred in centre, yellow and loaded at
sides. Pulse quick and frequent. Lies easy.
19th. Blebs formed on arms; pustules running into each other, beginning
to shrink; matter oozing out. Tongue covered with a dark crust. Pulse
quick and frequent. Erysipelas of eyelids and ophthalmia. Throat sore.
20th. Blebs larger and more numerous on hands and arms; purulent matter
oozing out from some of the pustules. Face nearly scabbed over. Some
small white pustules formed on the eyelids. Pulse frequent and
vibrating. Tongue as yesterday. Gums tender.
21st. Pulse weaker. Desquamation going on; pustules shrunk and drying on
limbs. Tongue as yesterday.
22nd. Matter much absorbed on limbs, leaving a shrunk cuticle. Face
covered with a brown and yellow scab and scurf. Tongue black and furred;
clear at apex.
23d. Some erysipelatous inflammation of the skin; pustules all nearly
disappeared from arms, trunk and thighs; some few, white and soft remain
scattered over breast. Pulse frequent. Tongue black and incrusted.
24th. Was brought into town from Bush Hill.
30th. Desquamation nearly complete. Low frequent pulse. Respiration slow
and laboured. Tongue incrusted.
April 2nd. Dead at 10, A. M.
Calomel had been freely given to this man in the earlier stage of his
disease: and during the last week, spts. terebinth. and nutritive
farinaceous food.
_Examination._--The pericardium, of a greenish colour and its
capillaries finely injected, was full of yellow serum. The lining
membrane of the larynx and trachea was of a greenish-yellow colour
throughout, and in the spaces between the cartilages ulcerated and
disorganized in several spots. Beneath the membrane was a venous
injection. About the bifurcation it was injected; and in the
ramifications of the trachea were seen several inflamed, and in places
abraded and disorganized spots. A chocolate coloured liquor with a
sediment filled the bronchiae and the larger tracheal subdivisions.
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