Researches on suppuration. Sect. 1. On the frequent presence and on the effects of pus in the blood, in diseases attended by inflammation and suppuration / by George Gulliver.

Date:
[1838]
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Licence: Public Domain Mark

Credit: Researches on suppuration. Sect. 1. On the frequent presence and on the effects of pus in the blood, in diseases attended by inflammation and suppuration / by George Gulliver. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Case 4. In a woman who died of puerperal peritonitis, the peritoneum contained a large quantity of coagulated lymph, serum, and purulent matter. Pus was detected in the blood obtained from the right ven- tricle of the heart. Case 5. James Green, aet. 27. was admitted into hospital with an ulcer of the leg. Seven days afterwards, the limb be- gan to swell, and there was hardness in the femoral vein, with some redness in the course of the absorbents on the inner side of the thigh. The swelling of the limb increased gradually ; he had first pain in the head, thirst, and quick pulse; then purging, pain in one wrist, with restlessness, incoherency of speech, and offensive breath; finally, low muttering delirium, accelerated respiration, and coma preceded his death, which took place on the twelfth day after his admission into hos- pital. At the post-mortem examination, the large veins of the limb were found to be occluded throughout by firm clots of blood, mixed with pus and coagulated lymph, and the lining membrane of the femoral vein was in many places of a red co- lour, and coated with fibrine. In the iliac vein no such signs of inflammation appeared, although there was a large coagulum of blood, which had lost its red colour, containing in its centre a small quantity of matter resembling pus. Several purulent deposits presented in the sheath of the femoral vessels, and in the intermuscular cellular substance. The matter resembling pus in the clot of the iliac vein had neither the chemical nor microscopical characters of that fluid. In some blood obtained for examination from the right ven- tricle and from the vena cava, numerous globules of pus were found. Case 6. James Hawke, aet. 22, had a superficial wound of the tibia, followed quickly by considerable pain and swelling. There was a very scanty deposit of pus in the subcutaneous cellular tissue. The swelling of the limb increased and ex- tended rapidly, the integuments becoming discoloured, and the slight suppuration ceasing. His dissolution was preceded by subsultus, collapsed face, accelerated breathing, hiccough, and coma. The swelling of the limb was found to be produced by ef- fusion of fibrine and sanguinolent serum. A few pus-glo- bules were found in the blood obtained from the vena cava. Case 7. M. Jackson, aet. 42, had erysipelas of the face, which decreased, and was succeeded by jaundice and effusion