Vol. 60, 1909 - University of North Carolina at Chapel Hill

262 THE CHARLOTTE MBDICAL JOURNAL.
count for, and permeation into the scrotal Lysol Poisoning from Intra-uterine
tissues has not been observed till late in the Irrlgalion.-Piltz ( Munchen. Med. Wochdisease.
The parts likely to be infected all enschr. says that lysol has been since ) its
lie along the dorsum of the penis and in introduction extensively used on account
either inguinal region, but when the bulb largely of its alleged strong antiseptic propand
the membranous urethra are affected, erties combined with non-toxicity. Many
infection may already have reached the authors have, however, reported fatal cases
intrapelvic glands, and removal of the whole of lysol poisoning. Such poisoning is charpenis
is necessary. Even then the chance acterized by symptoms of acute nephritis,
of a cure is small.
acute cerebral and peritoneal irritation, and
by the presence of phenol and tribrompheuol
The Zittman Treatment of Syphilis.— jh the urine. It has supervened after the
Lawson (Journal of the Royal Army Medical
Corps) says that the Zittman treatment
of syphilis was first commenced at Netley
use of a 1 per cent, solution as an intra-
uterine douche. Craemer and Hammer
state that the drug enters the general circuin
October, 1904, following the recommendation
contained in the first report of the
lation through the intra-uterine veins by
way of the peri-uterine venous plexus. He
Committee on the Treatment of Venereal doubts if a 'i; to 2 per cent, solution of lysol
Diseases and Scabies in the Army. Since can injure healthy kidneys, but he advises
then 183 patients have been through the the exercise of great care in its use where
course. Forty-two of these were put through renal lesions are suspected. The prognosis
a second course, ten a third course, five a of poisoning is good, as the patients recover
fourth course, two a fifth course, and two completely, the kidney nephritis being
a sixth course, making in all 243 cases. transitory like that originating from the
Nearly all the patients improved gener- toxins of scarlet fever,
ally; a little more than half of them gained
weight. Twenty-four showed
Congenital Heart Disease and Polycy-
no improvethemla.-
Weber (Edinburgh
ment. Each course lasted fifteen davs.
^ ed. Jour.)
The evening before treatment is begun the
"l^ntions the case of an undeveloped man
patient is given pills containing 2 grains of
22 years old, weighing bo pounds, with
marked cyanosis, drumstick fingers, systolic
calomel, together with extract of colocvnth
murmur in the middle line orthostatic
and hyoscvamus. Kree diet is ordered; the
albuminuria, ,n whom
patient is kept in bed, except for an hour
was found the u^^^^
in the evening. The temperature of the ,"^"^11^ high polycythemia of 10,oOlJ,)00;
room is maintained at 80° leucocytes /OOO. The hemoglobin
F. at least. The
was 160.
first four days the patient drinks a half-pint ^^^^^^^ ^'^^ count has rare y been recorded,
I" other respects the red blood corpuscles
of a hot decoction at 9, 10, 11, and 12 noon.
appeared normal.
This decoction contains a small modicum of
mercury. At the same day at 3, 4, .5, and A Plea lor a Rational Puerperium.
6 he drinks a half-pint of a cold decoction Haultaiu says that for many years he has
made up of sarsaparilla flavored with lemon, thought that the conduct of the puerperium
cardamom, and glycerin. The day the pa- simulated more that of the convalescence
tient gets up he is given two purgative pills, from a severe illness than the management
The treatment is continued till the fifteenth of the sequel of a normal function. The*
day, when it is discontinued, and the pati- author found the same views expressed in
ent returns to a ward at the usual tempera- a paper by von Alvensleben, Das .^ufstehn
ture. The amount of mercury in the decoc- der Wochnerinnen in den ersten Tagen des
tion is extremely small, since the decoction Wochenbettcs, and publishes now his stais
strained before being administered. It is tistics. Thepuerpera, if willing, was enfound
that men put through the course couraged to sit up in bed to meals on the
without the addition of mercury experienc- second day. As early as she felt inclined
ed as much benefit as those who took the thereafter she was allowed to leave her bed
mercury. and walk to the fireside, where she sat for
The essence of the treatment appears to be an hour. On the following da}' this wa
prolonged diaphoresis and diuresis, brought repeated morning and evening. The neS
about by drinking large quantities of highly day two hours, morning and evening, wefC)
spiced liquids, and being in a room at a spent out of bed, the patient sitting and;
high temperature. walking a little if she so desired. The!
The patient suffering from severe rashes, fifth day after rising was practically spent
rupia, destructive lesions of the nose, and out of bed with the exception of a fe.^
syphilitic rheumatic pains in the limbs and hours' rest in the afternoon, and on th
joints appears to benefit much from the tenth day the patient left the hospital. Th
treatment. Affections of the mucous mem- number of patients who followed this line
branes are apparently not helped. of treatment was one hundred, all of whom