On scarlatina, in a letter addressed to his son : in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligan vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls.

  • Ingalls, William, 1769-1851.
Date:
1837
Catalogue details

Licence: Public Domain Mark

Credit: On scarlatina, in a letter addressed to his son : in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligan vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    33/40
    There were four ; two were twins ; all died in one month, and the disease was upon them only five and seven days. Jt began with nausea, shuddering and coldness ; very soon came on a pain in the throat which increased rapidly ; great diffi- culty in deglutition now arrived, so that the little sufferers exhibited more than common dread when one approached with food or medicine, setting their teeth, and struggling violently in their opposition to its reception. The oldest had no eruption; one of the twins had a scar- let eruption most evident about the neck and upper part of the body ; the others had no eruption. The rise and progress of the eruption not remembered. The tepid bath was made use of; and a decoction of hem- lock bark as a gargle. As soon as seized, each patient was pronounced incurable. In the above cases eruption took place in but one, in this efflorescence constituted by no means a prominent symptom. These facts tend to give countenance to the opinion of Dr. Good in rosalia paristhmitis, or scarlatina anginosa. 'The determination, instead of being to the skin, is deflected to the throat.' After the death of Mrs. D.'s children, many cases of sore throat came under my care, two of which were very severe. Case First. In the first the appearance of the fauces engrossed my whole attention. The color of about two thirds of the velum pendulum palati extending to its free margin, and comprehending the uvula, was black; the rest of the velum palati and the posterior portion of the palatine membrane to a considerable extent, were of a dark red. At this time, there was to be seen no line of demarkation. Treatment. Being fully sensible, great advantage is often derived from vomiting in topical inflammation, more particu- 5