Southern Medical and Surgical Journal - Georgia Regents University

—1859.] Vegetation of the Genital Organs. 773careful to establish negative proofs to confirm their judgment.They submitted a certain number of fever-patients to in halation aof pure sulphuric ether, or sulphuric ether holding sulphate ofquinine in solution. The inhalations of pure ether produced noother effect than that of increasing, in an insupportable manner,the hot stage; while in those taking the ether containing thequinine, some anti-periodic effects were observed, after largequantities of the remedy were absorbed; but in severe casesthese effects were so slight, after long trials, that the patientsthemselves solicited more energetic measures. \_Amer. Mtd. Mon.Vegetation of the Genital Organs— Chromic Acid. [Translatedfrom the Gazette Hebdomadaire for the Boston Med. and Surg.Journal] By 0. D. Palmer, M. 1)., Zelienople, Pa.Case.— 0., 23 years of age, of a good constitution, never havingbeen diseased, became pregnant ibr the first time toward the endof October, 1856. About the same time she was taken with anabundant blennorhagic discharge. Having arrived at the fourthmonth of gestation, she experienced a sense of heat and sufferingin the genital organs. This painful sensation was producedby the presence of numerous prominences in the vagina,which had replaced the very copious and extremely foetid purulentdischarge. Careful cleanliness, injections, and baths, procuredno ease. Two months passed, during which the diseasewas making rapid progress.C. presented herself at the hospital, where she was admittedon the 30th of April, in the sixth month of her pregnancy. Itwas ascertained that over the labia majora and minora the vaginalcanal, and even the cervix uteri, was a growth of excrescencesof considerable size, and in great number. The mostvoluminous, as large as the fist, projected outside of the vagina.Of these vegetations some were with pedicles, others were sessile;their tints were reddish, their appearance vascular. Theywere for the most part divided and subdivided, forming ramifications,which in their aspect offered some analogy to the corymbof the millifolium. In the vagina these excrescences hadacquired such dimensions, such a development, as to fill all thecavity, and not to permit, without the greatest difficulty, the introductionof the speculum.In searching for the cause of these vegetations, it was impos-The woman hadsible to recognize for them a syphilitic origin.never had chancres. An attentive examination of the genital partsdid not discover any ulceration. There existed no engorgementof the inguinal or sub-occipital glands, no squamous eruption.In such a state of things we could not but foresee great difficultyat the time of accouchement. It was, then, very important