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

ABSTRACTS. 415
tastases and recurrences have never been the feeling of safetv that has been gained
observed in these cases, whereas cylinder- in so severe a disease. This is a distinct
cell carcinoma presents exactly the same disadvantage, inasmuch as it is found that
behavior, in this respect, as the correspond- the persons surrounding i;.e patient, the
ding neoplasm in the large bowel. He immunized children of the family, and the
contributes observations upon three cases: convalescent himself, are still carriers of the
(1) Carcinoma s,niplex, (2) Lymphocyto- bacillus in a virulent form. The con valesma,
(.3) Pseudo diverticulum, filled with cent carries arouud in his throat for several
mucus, not a new formation in the true weeks germs which are capable of infectsense
of the word. The small lymphocy- ing others. If he is allowed, as is so often
toma, in spite of its clinically becign char- the case, to mingle with the rest of the famacler,
must be designated as malignant, ily and its visitors after a few days of isolaaccording
to its histological behavior. tion, the spread of the disease is much increased.
One of the most frequent routes
Meat-Poisoning.— Lebeam in the Ztschrft.
of spreading is by the school. It is found
fur Aerztl. Portbildung, divided his cases • •
n, » .u .i u- i i- .i i
.... J- . that . the months m which ,
dipthena is east
into three groups, according to the setio- r, » ^, - , i i ii j I
, . , . c , i \ if . frequent are those 111 which children do not
logical point of view. (1) Meat poisonins \ i i t^i ^- c c ^
^.'^ ,\. . .. y
c ^ c
o^ ii"j, go to school. The prevention of infection
through the ingestion of meat from diseased • i- u j u
. ,,-,,. • . ., , ., IS accomplished by various measures, some
animals: (2) meat poisomng through spoil-
^^^^^^^ ^^^^ i^, ^^ individual., which
ed mea improperly treated along hygienic
^^^^ ^e combined intelligently. The measn.es:(.,)mept
poisoning corresponding to
^^^^ suggested by the author are these:
the classical type of botulism 1 he first
i.^i^tiorof the patient from the beginning
group IS produced by the so-called bacteria
„f ^,^^ ^-^^^^^ ^^^^ throughout coiivales
of en ten, s, winch are close yrelaed to the
cence, as long as cultures show the prespara-typhoid
bacillus R. of Kurth Schoit-
^^^^ ^f ^^^ bacilli in the throat or nose,
muller. I he second group is re.erable to
The school must be recognized as of imthe
roteus^bac.l us. or the common colon
tance as a means of spreading the disbacillus.
Both these forms of meat-poison-
^^^^ All pupils and teachers who live in
mg are characterized by gastrointestinal
a family in which there has been diphtheria
symptoms, the clinical picture being domishould
be excluded until a certificate can
nated by manifestations on the part of the
^e shown stating that bacilli are no longer
gastrointestinal tract, abdominal pain, vom-
^^^ ;„ ^j^^ f^^^^t ^f ^^^ tjg„t_ ^^ ^^
iting and severe diarrhoea. Phese cases
^^^^ member of the family. A period of at
constitute meat intoxications of the intestij^^^^
seven weeks having elapsed, rigorous
nal type. In contradistinction to these cases
disinfection of the entire house, the school,
there are others of true botulism, also known
and all places where the patient has been
as allantiasis, or sausage-poisonnig, because
during the course of the disease should be
the first observations conoenied the iiigescarried
out.
tion of spoiled sausage. Botulism is characterized
by severe nervous symptoms, with Intravenous Injections ol Adrenalin in
optic disturbances, paralysis of accommo- Heart Failure —John, according to the
dation and diplopia in the fore- ground of Dublin Medical Journal, has investigated
the clinical picture, combined with ptosis ^le action of intravenous injections of from
'^ and mydriasis. Disturbances of swallow- to 1 cc.m. of adrenalin in cases of caring,
paralyses of the vocal cords and pa- diac failure and of shock, and has come to
ralvses of the extremities follow, and a fatal the conclusion that they will frequently reoutcome
is verv common. These cases of store life to moribund patients, even after
botulism concern poisoning with botulinus all other therapeutic means have failed.
toxin. An increase in the number of botu- lie has frequently given it in the collapsed
linusbacilliin the organism does not occur, condition of pneumonia, in heart failure
Botulism in this respect presents a marked following lysol poisoning, m pleurisy, and
similarity with tetanus. The botulinus >" "lany other conditions. The effect is
bacillus is found in any kind of spoiled instantaneous. 1 he face and the mucous
meat or fish, as well as in other foods, such membranes become blanched, the blood
as vegetables, the articles appearing practi- pressure rises, and the pulse becomes slowcallv
unchanged externally.
ed. This improvement may last from two
.
to three hours. The writer believes that
Prevention ol Diphiheria.-Pecon (Gazjjjg
beneficial effects observed arise partly
zetta Medica di Koma ) says that as a result
f^^^j ^^^ vasoconstrictive action of the
of the introduction of antitoxin in the treatadrenalin
and partly from a direct stimulat-
ment of diphtheria it is found that although •
.ji^^ ^^ tl,e heart muscle or cardiac
the mortality is decreased, the morbidity « , , . .
from the disease is not decreased. This is ganglia. He also suggests that some forms
due to the carelessness which results from of cardiac failure may be due to the want