On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
History
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits
Lee, Henry, M.D.
Blood; Veins -- Diseases
Affections of the spleen, produced by the introduction of foreign
matter into the blood, are probably not so readily recognised as
similar affections in the lungs and liver. For, although the spleen
is often found to be diseased in those who die from infection of the
blood, yet it is comparatively seldom that secondary abscesses have
been found in it. In the accompanying table, containing twenty-three
cases, some morbid appearance, not recognised as peculiarly the result
of secondary inflammation, was observed in the spleen in no less than
eight instances. So large a proportion of cases renders it probable,
that the alterations observed have more than an accidental connexion
with the disease of which the patient died, although they presented
no characters which could be said to be peculiar to that disease. In
well-marked cases of secondary affections of the spleen, one or more
well defined, but frequently irregular indurations, of a chocolate
colour, may be recognised; such patches are usually seen soon after the
commencement of the complaint, and in a very short time become softened
or broken down. The rapidity with which they lose their original
character, may probably account for their being comparatively seldom
observed in post-mortem examinations.
Deposits of lymph are sometimes met with in the kidneys; but these are
of small extent, of a light colour, and resemble lymph deposited in
consequence of ordinary inflammation. The patches of congestion, so
characteristic of this disease in other organs, are not here observed.
This may depend upon the peculiar disposition of the capillary system
of the kidney. The blood has to pass through the Malpigian tufts, and
may be purified, or altered in character, before it reaches the proper
venous system of the organ.
In cases where purulent infection of the blood has been purposely
produced, portions of the kidney will not unfrequently be found
inflamed and firmer than natural; but, if the origin of the disease
were not known these appearances could not be distinguished from those
produced by inflammation of the kidney from other causes.
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