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.

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    the pulmonary artery and superior cava, and branched for a considerable distance within them, nearly obliterating their channels. The left ventricle contained a similar clot of moderate size, entangled with, and adherent to, the cordse tendinese. It was continued into the aorta, and branched into the arteries of the arch. The spleen and mesenteric glands were swollen and dark coloured. The agminated glands, as high as the duodenum, were swollen and purple; two of the larger patches, about eighteen inches from the valve, were much raised, of a blood-red colour, and appeared to be abraded. The solitary glands were swollen, prominent, and of a yellowish colour, so that the lower third of the ileum appeared as if uniformly sprinkled witb grains of sago. Psorenterie is the term used by French writers to denote this condition. The mucous membrane of the small intes- tine was completely injected, and of a bright rose colour. Case 2. Death on the third day of scarlatina; general inflammation of the mesenteric and intestinal glands.— Caroline D—, aet. 6, sister to H. D— (see Case 7), died comatose. The body was well nourished, and blotched with a scarlet rash. The glands of the neck were a little swollen. Excepting the apex, the right lung was increpitant, fleshy, flabby, friable, and bound to the chest wall by old adhesions. The heart contained only soft blood clots ; the gall-bladder was full of thick dark sap-green bile, neutral, sp. gr. 1032, giving with Pettenkofer's test a rich and permanent purple. 1000-gr. measures yielded, at 212° Fahr., eighty grains of almost black brittle extract of strong fatty odour. Spleen three and three quarter ounces, firm. Mesenteric glands swollen to the size of marbles, and making a heavy lobulated mass of the mesentery. The small intestine was in the same condition as that of her sister (Case 7), the agminated glands being vividly injected, and swollen from the jejunum downwards, and there was general psorentery. The mucous membrane of the colon was of a pale rose colour, and the solitary glaudulse, from the caecum to the left bend of the colon, were enlarged, red, and prominent.