The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral SciencesVarious
Science
The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral Sciences
Various
Medicine -- Periodicals
21.--The cough was small, difficult, and painful, producing an
expectoration of violet-coloured matter, approaching to chocolate,
_with a characteristic odour_.
22 to 25.--Expectoration and breath emit an _intolerable stench_.
On the latter day the patient died.
_Examination._--The body not emaciated. Strong adhesions of the
left lung to pleura costalis. At its posterior part a large
gangrenous layer, occupying the two superior thirds of the lung,
covered at some points by a false membrane. The lower third, and
the parts round the gangrenous portion, in different degrees of
inflammation, and hepatised; the putrid mass was in great part
black or violet-coloured, containing fragments of the pulmonary
texture; the smell gangrenous, but less so than that of the breath
during life; pus might be squeezed from the adjacent part of the
lung.
CASE II.--A man, aged 55, enjoyed good health till the beginning
of May, at which time he experienced pain in the left side of
the thorax after exposure to cold. During the next few days the
cough was frequent, and the expectoration tinged with blood. A
rigor now came on, followed by a distinct exacerbation of fever,
and he came to the Hôtel Dieu. At this time he presented symptoms
of inflammation of the lungs, and was bled with relief; he left
the hospital in twelve days, being sufficiently well to resume
his occupation. Scarcely had he done this, however, when he had a
relapse, accompanied by great lassitude, oppression of breathing,
and frequent cough. At the end of a week he returned. He was now at
the twenty-first day of the attack. His skin was yellowish; face
pale or of leaden hue, and greatly altered; his cough frequent,
with abundant expectoration of matter like chocolate, with small
specks resembling pus, and little bodies about the size of peas,
which appeared to be portions of the lung. This putrid mass exhaled
a _gangrenous odour_, and the expired air was impregnated in a
high degree with an equally disgusting smell, which surrounded the
patient's bed with a contaminated atmosphere. Percussion gave a
clear sound over the whole extent of the chest; auscultation did
not discover the pulmonary expansion on the right side. The pulse
was weak, but not frequent; the patient was in a state of extreme
prostration. Next day the odour of the breath and expectoration
was, if possible, more dreadful. He lingered two days longer,
during which time the fœtid smell somewhat diminished, and the
proportion of pus in the expectoration increased.
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