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

Sq the charlotte medical journal
complain of feeling chilly, and pass liis As the disease progresses, the dog becomes
urine involuntarily. more furious. Finally, he leaves home and
Should we have a typhoid patient who may run for miles, biting anything that
begins more or less suddenly to complain comes in his path, thus distributing the inof
pain or of an uneasy feeling in the lower fection over a wide area, .\fter a day or
abdomen, and before long, whose abdomen two, the animal returns home exhausted
becomes tender and rigid over the lower and covered with dirt and blood from his
right quadrant, we would be justifiable in numerous encounters. He shows no fear
making the diagnosis of perforation, for, as of water in any stage of the disease, and
Osier says, we must operate when we have drinks readily so long as he is able to swala
probable diagnosis; to wait till all the low, but the progressive paralysis of the
symptoms of perforation are established pharyngeal muscles soon make drinking
means to rob the patient of his chances for impossible. The jaws droop open, the tonrecovery,
gue hangs out and saliva exudes from the
Typhoid patients stand a laparotomy re- mouth. The dog may paw at his mouth,
markably well, provided too much time is and this, together ^^ith his inability to swalnot
taken, and in the few cases reported in low, may lead the owner to introduce his
which there were no perforations found, the hand into the mouth in search of a bone in
patient has usually recovered. the throat. In a short time paralysis of the
hind legs sets in. which soon becomes geu-
Alabama Medical Journal, May, 1909. eral and the animal dies paralytic. The
The Sanatorium in
^ourse of the disease
its Application
from
to
the onset of the
Tuberculosis.-Ur.S.G. ^""^^ Bonnevsavsthat
symptoms ,s usually from two to five
indigent patients with advanced
days, never more than ten days. It is
disease
exundoubtedly
represent the
tremely doubtful if recovery
chief source
ever takes
of
further bacillary distribution, and above all P'^^e.
others should be subjected to rigid discip- '-The paralytic type of rabies occurs in
linary supervision. They not only constitute
an oppressive burden to their families,
about 15 per cent, of dogs infected with
street virus. The onset is similar to that of
but through their inability to observe hy- the furious type, but the paralytic sympgienic
precautions become a constant men- toms follow the premonitory without the
ace to society. They are almost always intervening period of excitement, and the
denied admission to municipal hospitals, progress of the disease is more rapid. The
Tuberculosis sanatoria possessing facilities animal shows no disposition to bite, andrefor
their care are exceedingly few. Ade- mains quiet. Paralysis occurs first in the
quale accommodations should be provided throat and jaws, soon extending to the rest
in the form of segregation establishments of the body. Death occurs in two or three
where all possible comforts may be admin- days. This is the usual type of infection in
istered through judicious nursing and medi- laboratory animals and after inoculation
cal attehtion. Aside from humanitarian with fixed virus.
grounds it is precisely by virtue of their In man alone is the disease properly callignorance,
destitution and occasional ob- ed hydrophobia, for it is only in man that
stinacy that some form of institutional care fear of water develops. This dread is not
is demanded. As to its practical berefi- confined to water, but extends to anything
cence for this group of patients there can that might cause an effort to swallow, and
surely be no room for difference of opinion, hence brings on a convulsion.
Babies and the Pasteur Treatment.- xbe Value o! the Von Perqaet Test for,
^^' ^^^''°" thus describes the symp- Tubereulosis.-Dr. J. S. Davis says as a'
toms^'
T ' ,, 1 , ., 1 . diagnostic measure, its , greatest usefulness
n the dog, at the end of the period of in- is seen in children, since almost all adults
cubation, the animal shows a change of dis- have latent foci, which would be thus reposition.
He becomes morose, ill at ease, vealed
i.rritable and snappish. Often he seems to -, ',..,... .. ^ .,, . ,.
ill mdi-
be in distress, and unable to remain quiet -Y ''}'''}''^\ ^^^^"^'>' °' "'" """'J
foranv length of time. He is easilv ex- ^"J^^^^ /^^ absence excludes tuberculosis,
cited, but recognizes '^ ^^^^''^
his
'" ^"'"'^und and
master
advanced]
obeys his
command, and mav even seem more afTec- ''^^^^- ^^ promptness and course are of :
tionatethan usual. '
P-^"ostic value.
The appetite fails, and
soon the animal becomes more Positive
restless. He reactions are of three kinds:
is constantly in motion, worries his chain, 1- The "norma," which reaches its maxibedding,
or anything else that mav be in "lum in twenty-four hours and pales in two
the kennel, and his bark changes in tone, or three days,
acquiring a peculiar high pitched quality'. This indicates early and favorably pro-