On a case of acute atrophy of the kidneys and liver in a pregnant woman / by T. Grainger Stewart.

Date:
[1866?]
Catalogue details

Licence: Public Domain Mark

Credit: On a case of acute atrophy of the kidneys and liver in a pregnant woman / by T. Grainger Stewart. 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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    ON A CASE OF ACUTE ATKOPHY OF THE KIDNEYS AND LIVER IN A PREGNANT WOMAN. By T. GRAINGER STEWART, M.D., F.R.C.P., PATHOLOGIST AND EXTRA-PHrSICIAN TO THE BOYAL INFIHMARY, LECTURER ON GENERAL PATHOLOGY, SURGEONS' HALL. Bead before the Medico-CMrurgical Society, Gth Decerriber 1865, and Reprinted from the Edinburgh Medical Journal for Jamiary 1866. In a paper whicli was piiMislied in this journal for October 1865, I drew attention to the fact that, in cases of acute yellow atrophy of the liver, the same changes may exist in the kidneys that occur in the hepatic organ, and endeavoured to show that in both the pro- cess depends upon a blood-poison, I have now to describe a case apparently of the same nature, in which the kidneys were primarily aifected, the liver only secondarily, and to a slighter extent. For an account of the symptoms I am indebted to Drs Graham Weir, M'Cowan, Mitchel, and Oman, who saw the patient dui-ing the few days of her illness. M. M., aged 22, was of dissipated and abandoned habits, but always enjoyed good health till the commencement of this illness. In October she was far advanced in pregnancy, and on the 20th of that month, without known cause, she became suddenly ill, with symptoms which were referred to inflammation of the uterus. But as no satisfactory treatment was possible where she resided, and as she became rapidly worse, she was sent to the Maternity Hospital. She was admitted on Friday evening, 22d Octobei-. She was then very weak, and was vomiting stringy mucus, with streaks and clots of blood, and now and then matter like coffee-grounds. This continued notwithstanding the employment of suitable remedies, until Sunday niorning, October 24, when she began to sink rapidly. At that time premature labour was brought on by direction of Dr Graham Weir. She was delivered of a putrid child about 4 P.M., and died