Southern Medical and Surgical Journal - Georgia Regents University

1867] Bruce on Searching for Ballets. 493mind clear, tongue much furred, bowels very torpid ;littleif any acceleration of pulse or increase of heat of thebody. In seeking for an exciting cause, a large irritableulcer, the size of a Mexican silver dollar, was found to belocated just above the insertion of the left deltoid muscle;the border of the ulcer almost a circle, clean cut; theareolar and adipose tissues beneath entirely destroyed,presenting to view the uncovered muscle, which had theappearance of a piece of partially roasted beef, cut acrossthe fibres, conveying to the mind the idea of some corrosiveaction.The symptoms gradually but rapidly increased in inten-On inquiry, it was found thatsity, and the patient died.the patient had been treated two months previously in thesame hospital for intermittent fever, by hypodermic injectionsof quinia, the injections having been practiced overthe lower deltoid region of the left arm. Recoveringfrom the fever, the patient was discharged, but in a fewweeks again presented himself with the deep ulcer occupyingthe arm injected. Dr. Mitchell inclines to thebelief that quinine is of itself a positive and powerfulirritant, when introduced into the tissues by the hypo-,dermic method ; he has seen in several instances much,pain, and considerable redness result from injections ofsmall quantities of quinia, 6imply suspended in water,without any of the dissolving acids, and he is satisfiedfrom hearsay, that this is not the only case of ulcer whichhas followed the hypodermic use of quinine in the city ofNew Orleans.Searching for Bullets.The Lancet contains an interesting record of observationsin the military hospitals of Dresden, by Dr. Bruce,of University College, London. There was ample opportunityfor observing the effects of the different bullets