On the nature, causes, statistics, and treatment of erysipelas / by Peter Hinckes Bird.

  • Bird, P. Hinckes (Peter Hinckes), 1827-1891.
Date:
[1858?]
Catalogue details

Licence: Public Domain Mark

Credit: On the nature, causes, statistics, and treatment of erysipelas / by Peter Hinckes Bird. 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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    Of the 197 cases, twenty, or nearly one-tenth, had a second attack of the disease. Of the whole 4863 patients labouring under various diseases during the same period of time, 197, or nearly one-twenty- fourth, were cases of erysipelas; so that the prevailing opinion that those who have already been attacked are predisposed to the disease appears to be confirmed—even periodicity in its return has been re- marked {Lorry; Hoffman ; P. Frank; Aulree^ Op. Cit., p. 30), as well as remissions {Piorri., Tractatis de Morhis Cutaneis de Erysipe- lata ; Lepelletier., Op. Cit.; Roche and Sanson.^ Nouveaux Elements de Paihologie., t. i; Bayer., Op. Cit.) ; and, according to some authors, ambulant erysipelas may be habitual.—Palissier: Essai sur I’Ery- sipele Phlegmoneux. Lepelletier: Traite de I’Erysipele, p. 244. Raimann. Auhree: Op. Cit., p. 14. Sojourn of patients in a hospital predisposes to this disease. Of 217 cases noted by Fenger, nineteen alone arose out of the hospital, the remaining 198 commenced in the hospital. There can be no doubt, then, that the liability to both idiopathic and traumatic erysipelas is increased and favoured by hospital life. Of these 198 cases commencing in the hospital. 50 commenced on the 7th day after admission. 45 40 29 16 18 99 99 8th to 15 th 99 99 99 16th to 30th 99 99 99 31st to 60 th 99 99 99 61st to 90th 99 99 99 after 90th day. The shortest time was one day, the longest 395 days, after admission. The disease began Mean time after admission ’Half of the cases arose . . One-third Two-thirds Disease appeared more than 150 days after admission In Men. In Women. Both sexes. 27 days 44 days . 36 days first 15 days first 16 days first 15 days first 9 days first 9 days first 9 days first 25 days first 30 days first 27 days twice 10 times 12 times The mean time, then, in which the disease arises is greater in women who, after several months sojourn in the hospital, appear more disposed to erysipelas than men. It may be generally stated that the length of time patients remain in hospital does not greatly predispose them to the disease ; for many more were attacked during the first month than the third, and the number of these is much less after three months sojourn than one