Myringomycosis aspergillina (fungus ear diseases) / by James Patterson Cassells.

  • Cassells, James Patterson, 1837-1884.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Myringomycosis aspergillina (fungus ear diseases) / by James Patterson Cassells. Source: Wellcome Collection.

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    states that by his orders leeches were often applied, and very frequent vesication; on more than one occasion a blister extending round the neck, from ear to ear, having been applied. She also says she was mercurialised. As may be conceived, no relief was obtained by these somewhat heroic measures, and the disease, coming to be regarded as a local manifestation of general debility, was left to take its course. For a time there was a lull in the more disagreeable and distressing symptoms. This relief was due to the frequent use of the syringe and tepid water, by which means large masses of flaky-white deposit were removed. After continuing for upwards of a year in this unsatis¬ factory state, there was a relapse. All the symptoms formerly complained of, and which had never been quite absent, returned with greater intensity. No benefit following the measures which the family at¬ tendant had recommended, it was decided to seek the advice of some one familiar with affections of the ear. So far as I can gather from the statements of the patient and her family, the opinion of the consultant coincided with that of the ordinary attendant. The painful burning sensation, and occasional lancinating pains, were regarded as an irregular form of neuralgia, the result of the general debility. The remedial measures recommended were as unsuccessful as the former ones, and with the exception of occasional and temporary relief from syringing, the patient remained much in the same state up till June of 1874. When she first came under my notice, she complained most of the left ear, and, in a very slight degree, of the right. There was much tinnitus, a constant burning, painful sensa¬ tion in the ears,particularly the left, and occasional very slight discharge from it only. The hearing was much diminished, being for the right A, and left ear A. The naso-pharynx was congested and relaxed, tonsils slightly hypertrophied. The right meatus presented a dry scaly appearance, and, with the exception that it contained no ceruminal zone, was normal in every other respect.