Miscellaneous contributions to the study of pathology / by John W. Ogle, M.D.

  • John Ogle
Date:
[1868]
Catalogue details

Licence: Public Domain Mark

Credit: Miscellaneous contributions to the study of pathology / by John W. Ogle, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    medicine. The surface of the body was frequently torn with the boy’s nails, and the tongue often bitten. The lips became very parched and deeply and remarkably cracked and fissured, and the motions passed involuntarily. The severity of the convulsions prevented his being lifted out of bed, and in consequence a “water-bed” was resorted to. There appeared to be also great ex- citability and passionateness of temper, and to some degree the paroxysms could be controlled by speaking sharply to him. He had at last to be tied down, so great were the struggling and kicking; and the hair of the back of the head became worn off. The mouth and tongue became deeply ulcerated. Belladonna and other reme- dies were tried in vain. He sank and died from exhaustion, retain- ing consciousness to the last. Post-mortem examination.—Cranium and spinal column.—The surface and also the other parts of the brain were generally injected. The ventricles were natural. The veins within the spinal column were very distended with blood, as well those lining the spinal cavity as those of the dura mater and those covering the spinal cord itself. On section the cord did not at first present any unnatural appearance; but on minute examination portions of the grey matter were of a duller and more yellow colour than natural, and this was chiefly so towards the upper part of the cord. Thorax.—The right pleura contained a few adhesions. The left ventricle of the heart wras contracted. Upon the inner edge of the mitral valve was a line of soft beads of fibrine, easily detached. The kidneys were much congested; the other abdominal organs were natural.1 Remarks.—The congestion of the brain, the diseased state of the spinal cord, and the condition of the heart’s valves are to be noticed in this case (249). Case 15.—Maniacal chorea, pregnancy, intestinal worms, congestion, and softening of nervous centres, fibrinous granulations on the heards valves. Harriet S—, set. 17, a general servant, was admitted under my care, April 24th of the past year (1867), with well-marked but not severe Saint Vitus’s dance, affecting the whole body, which she had suffered from since about Christmas. The catamenia had been absent three months, but before that had been regular; she had never had rheumatism. She had had measles the previous summer. She was reported also to have vomited worms of the size and shape of earth worms. She was very violent in temper, and whilst in the hospital showed this considerably. The abdomen was very large, and evi- dently contained a pregnant uterus; this was confirmed by the ful- 1 This case was related by myself in the ‘ Transactions of the Pathological So- ciety,’ vol. xvii, p. 421: and the fissured state of the lips, illustrated by a woodcut.
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