Studies on the pathology and on the etiology of variola and of vaccinia / by William Thomas Councilman [and others].

  • Councilman, W. T. (William Thomas), 1854-1933.
Date:
[1904]
Catalogue details

Licence: In copyright

Credit: Studies on the pathology and on the etiology of variola and of vaccinia / by William Thomas Councilman [and others]. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    trachea presents appearances similar to those seen in the pharynx. Esophagus negative. Bone marrow: that of the femur yellow, mottled with reddish areas of small size. Bateriological examination —Cultures from the heart, liver, and kidney show the streptococcus pyogenes. Purpura variolosa (four cases; all adults, three males, one female, duration five to seven days). — The skin of the face shows a dusky, bluish-red flush, deepest about the neck and ears; a few small crusts may be present about the alae nasi. The skin of the trunk presents a general terra-cotta- red or bluish-red flush, deepest upon the upper part of the chest and upon the dependent parts, together with sparse, vague, bluish splotches, two to four millimeters in diameter, rather more numerous than elsewhere in the flanks. The skin of the arms shows a faint red mottling; in one case that of the upper arms showed five or six small papular elevations. The palms in all showed no lesions. The skin of the legs resembles that of the arms, and like the palms, the soles are negative. The epidermis strips off readily in large sheets, leaving a moist, ghstening surface. The following are protocols of autopsies on typical cases of purpura variolosa: Case No. XLIII. — Clinical diagnosis. — Purpura variolosa (five days' duration). Anatomical diagnosis. — Purpura variolosa; subserous punctate hem- orrhages; cloudy swelling of the heart, liver, and kidneys; punctate hemorrhages of the stomach ; hemorrhagic pyelitis. Body. — That of a man about forty years of age ; length one hundred and seventy-five centimeters; powerfully built; well nourished; body warm ; rigor mortis absent; pupils equal and widely dilated. The skin of the entire body is of a dull, bluish, brick-red color; this color is somewhat deeper upon the dependent parts than elsewhere, and the dusky blue tinge most marked about the ears and upon the sides and back of the neck. The skin is dull and lusterless and presents a somewhat velvety appearance, although it is not especially rough to the touch. The epidermis is readily separable from the cutis, leaving a raw, moist surface.