Lectures on children's diseases : A handbook for practitioners and students.

  • Henoch, E. H. (Eduard Heinrich), 1820-1900.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on children's diseases : A handbook for practitioners and students. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    by the evening there was relief of the symptoms and diminution of the swelling. On the following day the temperature also fell, and on the 6th it was only m. 100° and ev. 101-8° F. Pain and swelling distinctly less, lower jaw now movable, mucous membrane nowhere reddened, tongue not swollen, its surface covered with a whitish coating. This showed under the microscope nothing save the ordinary fungi and a large amount of fattily-degenerated epi- thelium. During the next few days there was steady improvement and rapid recovery; so that the whole process lasted about a week. After an interval of 3 weeks, however, a relapse occurred without any evident cause, the symptoms being quite similar. This second attack again lasted 6—7 days, and recovered under the same treat- ment. Since then the child has remained healthy, except for a slight otorrhoea. A girl of 7 years, admitted on 27th Feb., 1883, had taken ill 4 days previously with fever and slight nocturnal delirium. There was a diffuse swelling, extending from the posterior border of the right sterno-mastoid up to the middle line of the neck, and from the mastoid process to the commencement of the larynx. This swelling was soft, hot and reddened. Mouth half-open, excessive discharge of saliva, thickly coated tongue, swallowing interfered with. Owing to the difficulty of opening the mouth wide, the pharynx could scarcely be examined. An ice-bag was applied, and fragments of ice given internally. On the 28th the tongue was pressed forwards and upwards, tender, immovable; the speech very indistinct. The floor of the mouth was much swollen, and here and there there was a dirty-grey coating on it. Just under the tongue, to the right of the freenum there was a small opening, out of which bloody serum oozed. T. 1027° Gargling with solution of thymol; 5 leeches applied to the swollen submental region. On the 1st, condition unchanged. On the 2nd, during the night, a copious discharge of pus from several places under the tongue. On pressure over the submaxillary region, pus oozed out as from a sponge. The general health seemed good, and the child could drink well. T. 99° F. During the next few days the swelling subsided, and there was less discharge of pus. The tongue returned to its normal position, and the mouth could be readily opened and shut. On the 6th, recover}-, only a few of the cervical glands remaining slightly enlarged. ,A girl of 7 years, admitted on 27th Ma}', 1884, with a fluctu- ating abscess in the right submaxillary region. 1J tablespoonfuls of offensive pus evacuated by incision. The whole floor of the mouth much swollen, pressing the tongue upwards against the palate, and discharging offensive pus from several openings. T. ev. 102-6° F. Gargling with lukewarm solution of thymol, anti- septic dressing to the wound. On the 6th June discharged cured. In these cases we had a phlegmonous inflammation of the