Remarks on gastro-intestinal mycosis, caused by the smaller fungi or moulds / by J. Brendon Curgenven.

  • Curgenven, J. Brendon (John Brendon), 1831-1903.
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on gastro-intestinal mycosis, caused by the smaller fungi or moulds / by J. Brendon Curgenven. 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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    s severe. She had vomiting at inturvals of two hours. The colhipse and absence of pulse continued. On Febnuu v IPth, at 4 A.M., she passed on making an effort, about two drai'huis of bloody urine ; the bladder was empty. A largo linseed- meal and mustard poultice was placed over the kidneys ; and, at 5.45 A.M. was replaced by a largo linseed-meal poultice. At 9 a.m., Sir Andrew Clark saw her in consultation with Dr. Stephen and my- self. He considered the illness due to some fungoid poisoning, a mycosis; and inquiry was made as to whether .she had taken lately any i>reserved fruit or tinned food of any description ; but it was dis- tinctly stated that she had not; having been unwell, she liad been living on very simple and plain dieb Sir Andrew related that he had once a severe attack of the kind, with collapse, from eating greengages, and that he knew of many cases of the kind occurring during the jdum-season, from eating greengages that had their skins cracked, and on which there grew a mould. An eflervescing draught and a pill containing half a grain of calomel were prescribed, to be taken every four hours. Beef-essence, and milk and soda-water were given as nourishment. At L I'.M., the pulse was just perceptible, 96 ; respirations 24; temperature 99.7°. At 2.30 p.m., vomiting returned. I stopped the eiTervcseing draught, and returned to the bismuth-mix- ture. She slept a little for the first time. There was no action of the bowels; and no urine was passed. At 4 p.m., an enema of a pint of warm water was given, which was retained. At 5.30 p.m., Sir Andrew saw her again with us. She complained of pain over the bladder and in the left groin. A hot poultice was applied to the abdo- men ; and at 7.30, as she could not pass urine on making an efibrt, a catheter was passed and a pint of urine drawn, which was high- coloured and slightly cloudy, relieving the pain of whieh she com- plained. No urine had been passed since the commencement of the illness (thirty hours). February 20th, at 7.30 a.m., the urine was again drawTi, a pint, light and clear, containing aliout one-tenth albumen. Pulse 92 ; temperature 99°. The bismuth and .spirit of chlorofoim were continued. At 10.15 a.m., an enema of two pints of thin gniel was administered ; this was retained. There was no peristaltic action of the bowels, which, like the bladder, seemed paralysed. The last vomiting was at 8.15 a.m., forty-three hours after the commencement of the attack. The bowels not having acted since the beginning of the illness, sulphate of soda was prescribed in an effervescing draught to be taken every three hours, for four doses; but thei'e was no action until 6.15 A..M. on the 21st, fifty-eight hours since the last, when about half a pint of urine was also passed. Pulse still very small, 90 ; tem- perature 99.8°. At 7.30 P.M., a dessertspoonful of castor-oil was given, and the bowels acted at 10 p.m. Februaiy 22nd.—-Sir Andrew Clark continued to visit her daily with us, and took great interest in the case. She was improving in strength, although there was still a tendency to faint. She slept an hour or two at a time. Pulse 80 ; temperature 99.5°. She was passing urine at intervals, but with pain ; the bladder also became painiul when containing about half a pint. She was taking citrate of bismuth and citrate of potash ; beef-tea, chicken-broth, milk, aiTOwroot, etc. February 23rd.—The bowels acted in resjionse to caslor-uii. There was sliglit improvement in strength ; the pulse was fuller and stronger. February 2.|th.- The pain in the bladder continued, but was re- lieved on passing urine. February 25th.—A little solid food was taken, and she was rarricil up to her bed-room in a slieet. The urine having a thick deposit and smelling of sulpliuretted hydrogen, it was tested, ami gave a slight re- flation with lead. Underthc microscope, the (le]io.sit was fnuml'l m-