The pathology of scarlatina, and the relation between enteric and scarlet fevers / by John Harley.

  • Harley, John, 1833-1921.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: The pathology of scarlatina, and the relation between enteric and scarlet fevers / by John Harley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    13/38 (page 11)
    was injected and purple. Peyer's patches were all swollen and prominent; those in the upper part of the bowel^ white and opaque, the inter-follicular ridges for the most part in contact and overlapping the follicles, as in the first stage of enteric fever, those in the lower portion of the ileum were jeautifully injected, purple, and raised about the one eighth of an inch above the pale mucous membrane surrounding them. Just above the valve the injection was more vivid, and many of the solitary glands were svi'ollen and ecchy- mosed. The large intestine was quite healthy. Case 16. Death on the tenth day of scarlatina; general and severe inflammation of the mesenteric and intestinal glands.—Jane Bradbrooke, set. 1^, died of exhaustion with a huge bubo on either side of the neck. The body was mottled with a dusky scarlet rash. The heart was free from clots. The liver pale, 18^ ounces; the gall-bladder con- tained half an ounce of clear, watery fluid of the colour of pale urine; on a white plate it had a bright yellow tinge. Pettenkofer's test thrice applied and compared with similar testings of other bile, gave not the slightest colour reaction. 1000 grain measures yielded at 212° Fahr. 11*1 grains of brittle, bright, gamboge-yellow extract, destitute of fatty odour. The spleen weighed 3^ ounces, and was turgid, firm, and of a dark liver colour. The whole of the mesen- teric glands were greatly enlarged, being of the size of ordinary marbles, round, turgid, and purple. The intestines contained slimy mucus and one or two sulphur-coloured pellets of faecal matter. In the ileum there w^as general and severe psorentery, the glandulas in the lower part being mostly white, and some of them twice and thrice the size of hemp-seeds. All the agminated glands were red, swollen, and elevated above the surrounding pale mucous membrane. This condition was as marked in the higher as in the lower parts of the ileum. A patch at the distance of four feet from the valve was abraded. The mucous membrane of the larger intestine was injected, and pink, and the solitary glands enlarged and congested. 2