A treatise on pathological anatomy / by Carl Rokitansky ; translated from the German, with additions of diagnosis from Schoenlein, Skoda, and others by John C. Peters.

  • Rokitansky, Carl von, 1804-1878.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on pathological anatomy / by Carl Rokitansky ; translated from the German, with additions of diagnosis from Schoenlein, Skoda, and others by John C. Peters. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    the sub-mucous cellular tissue, in a state of serous infiltration. A very extensive confluent pustular eruption may bring on a variolous ulceration of the parts. 4. TYPHOUS PROCESS. The typhous process of the air passages presents various pecu- liarities, both in its seat, its relation to typhus fever in general, and to ileo-typhus in particular. It appears in all cases of typhus fever in the form of a pecu- liar typho-bronchial catarrh, attended with a secretion of tough, gelatinous mucus ; it is present in a marked degree when the general affection is severe, and in those varieties characterized by predominant affection of the chest. It may occur as a genuine half years' practice ; of these nineteen died. In the same space of time he met with eighteen cases of simple inflammatory croup, all of which recovered ; with thirty-five cases of spasmodic croup, none of which proved fatal; and with fifty-six cases of the catarrhal variety, without a single death. In pseudo-croup the cough is often much louder and more violent in the beginning than in those which ultimately prove more alarm- ing. In the less dangerous cases the breathing is generally loud, harsh, and suffocative from the commencement, and attended with great efforts, much loud coughing, creating great alarm, and calling for immediate relief; but in the commencement of true croup the breathing is comparatively quiet and unobtrusive; there is only a little more effort in drawing in the air, and a little more force exer- cised in its expulsion ; soon there is a slight dilatation of the nostrils at each inspiration, and a slight whiz or buzz at the rima glottidis, heard by placing the ear on the back of the neck, or upon the larynx. In the latter stage the symptoms are more formidable and urgent than in the first stage of the less dangerous varieties: they are too well known to require a full detail. According to Dr. Ware, the recovery from membranous croup is slow and unequal; the natural cure is brought about by a suppurative inflammation which commences in the trachea, beneath the false membranes, which are thus loosened and finally thrown off; it ad- vances slowly about the glottis. The progress of the cure is attended with copious expectoration of pus, with or without pieces of false membrane, which often become dissolved by the pus; expectoration may also be mixed with blood — voice may not return for weeks. These accidents never occur even after the severest cases of simple inflammatory croup.