Volume 1

A manual of medical treatment or clinical therapeutics / by I. Burney Yeo.

  • Isaac Burney Yeo
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical treatment or clinical therapeutics / by I. Burney Yeo. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    together into irregular flakes or patches, covered with a peculiar white curd-like secretion. It is found on the dorsal surface of the tongue, on the inside of the lips and cheeks, and especially on the folds connecting the gums with the lips and cheeks; it extends also to other parts of the buccal membrane, and into the pharynx, whence it descends into the oesophagus. It lias been found in the stomach and the caecum (where the secretions are acid), and in cachectic states it is not unusual to find it round the anus and genital organs. The mouth is extremely sensitive, and suck- ing or mastication or any attempts at feeding by the mouth are painful and difficult. Sometimes it is at- tended by vomiting and diarrhoea. When it supervenes on low cachectic states it is usually of evil omen. It is most common in infants during the first two weeks of life, and it is generally caused by want of cleanliness and deficient care in feeding, thus inducing a morbid acid condition of the oral secretions. It appears to be often conveyed from child to child by bottle-feeding. In older children, in adults and old people, it is apt to appear towards the close of ex- hausting, cachectic diseases. It is contagious. This fungus seems to require an acid medium for its development, and its occurrence in young infants has been supposed to be due to the preponderance of mucus, which is prone to turn acid, over the alkaline saliva, in their oral secretions. The indications for treatment in thisafleetion are, apart from those dependent on any co-existing cachexia, to remove the parasitic growth from the mucous membrane, and by restoring a healthy con- dition of the oral secretion, to prevent its re-develop- ment. As a preventive measure it is desirable to wash out the mouths of weakly infants after suckling, and especially after using the bottle, with a clean soft wet rag or camel-hair brush soaked in water. To remove the parasitic patches it is best to rub them off gently with a piece of soft linen wrapped round the tip of the finger, and. then cleanse the cavity of the mouth
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