An essay on infantile remittent fever, with especial reference to its diagnosis from hydrocephalus : for which a prize of thirty guineas was awarded by the South London Medical Society, October 1849 / by Charles Taylor, M.R.C.S.

  • Taylor, Charles, M.R.C.S.
Date:
1851
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Licence: Public Domain Mark

Credit: An essay on infantile remittent fever, with especial reference to its diagnosis from hydrocephalus : for which a prize of thirty guineas was awarded by the South London Medical Society, October 1849 / by Charles Taylor, M.R.C.S. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    mation and ulceration of the intestine, and enlargement of the spleen ; tliis latter occurring more frequently than is supposed. When the chronic form occurs after measles, scarlatina, or hooping-cough, or other diseases where there has been inflammation of the intestinal mucous membrane, it is peculiai-ly subject to a, relapse, is often accompanied by scro- fulous sores on the skin, and aphthous ulceration of the lining membrane of the mouth. In Mai-ch 1843, I had under my care a poor family of four children, in whom, after measles, this low form of remit- tent fever, with bowel in-itation, oc- curred, together with a tendency to a typhoid condition. They had been badly nourished, and all of them had ulcerations on the interior of the mouth ; andin one cancrum oris=.'- was developed, a portion of the cheeli sloughing away, and the child eventually died. Dr. West informed me he has also met with two cases which terminated fatally from gangi-ene of the cheek. Chronic Gastric Remittent Fever. Cask XII.—The following case, ab- breviated from Dr. Bird, illustrates remittent fever preceded by gastric fever, and accompanied by ascarides in the motions (Case 3, Dr. Bird):— Male, set. 6, residing in Clerkenwell, an offensive drain being at the back of the house. Four weeks ago suffered from malaise ; from that time has ema- ciated: irritable, and appetite lost. Jan. 16.—On admission aspect diiU and heavy, cheeks flushed, manners petulant, skin hot, tongue white, pro- jecting red papillaB, slight diarrhoea, mo- tions oflensive; at night is feverish, with delirium ; in the day-time there is headache: pulse quick and jerking; no cough. 27th. — Remissions this morning ; pulse 70. Duration of illness foui* weeks before admission and three weeks after. Treatment.—Jul. Menth. c. Sodse, and quinine afterwards. As in case XI., 1 have only taken the leading symptoms, which will be seen by a relerence to the * Dr. Churchill states tlint, nccordinif to the testimony of Thomasscn nncl Thyssen, it (cnn- crum oris) prevailed epidemically in the Ne- thorliinds, as a consequence of pistric fever, and also, in 18.38, in the Philadelphia Almshouse.— Dis. of Child, p. 410. reports (Guy's Hospital Reports, vol. iii. new series). iicute Remittent Fever succeeded by Chronic. Case XIII.—July 1844. A young girl, aged !), was under my care with a severe attack of acute remittent fever. She resided in a most unhealthy situa- tion, a stagnant ditch being opposite the house, and the locality was scarcely ever free from fever. She became con- valescent in three weeks, but, still re- siding in the same place, she was at- tacked a fortnight after with fever of a chronic form, from which the recovery was very tedious, and was followed by porrigo decalvans. Her sister, aged 3, the following month also became ill, with fever and diarrhoea; in her instance also followed by the chronic form, with much bowel irritation. Chronic Gastric Remittent Fever com- plicated with Pneumonia of Upper Riyht Lung and . ncemic {?) Murmur. Case XIV.—Dec. 14th, 1848. T. C, set. three years and a half. Male. For- merly a robust child, and enjoying good health, but for the last four months has been ailing. Three weeks back he had an attack of cynanche pai'otidaea, from which he gradually recovered; since which time he has had Ids tongue furred, quick pulse, a febrile attack every night, and at other times in the day has looked pallid, with a dark areola round his eye^. Has been fretful and peevish, frequently picking his nose and rubbing one eye, which has a crack in the upper lid from a slight degree of psoriasis. Appetite jirecarious, but never as good as natural. The bowels somewliat con- fined, deficient in bile. The urine has been scanty, and depositing lithates. Has taken the Hyd. c. Greta c. Pulv. Rh£ei occasionally, and the Julep Amra. Acet. mixture, but is now taking the soda mixture ter die. Under this treatment he gradually recovered his strength, but was not in a good state of health, when in January he had an attack of lobular pneumonia of the riglit lung, which came on insi- diously. By means of Cal. and Ipecac, and antimonials and repeated blisters, he recovered from this chest attack, but again returned into the same chronic derangement of his general health as he suffered from before. Without particu- larizing his symptoms, of which I have