SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

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disturbance, the fourth, fifth, or sixth day passes without its full appearance. The surface becomes swollen and of a dusky hue, while the eruption can be seen indistinctly beneath the surface. The pulse is oppressed, the temperature 104° or 105°; the tongue is broad and thick, with a dirty, pasty coating; while the breath is peculiarly fetid; in fact, so characteristic is the odor that the physician could almost diagnose the disease, in the dark, by the odor alone. The patient is dull, with the pupils of the eye dilated. The cough is hoarse and frequent, with more or less dyspnea. The eruption is darker in color than in the simple form, and the tissues seem edematous as though infiltrated. '”In another class of cases, the symptoms of malignancy are manifested early in the disease. The pulse is smaller and faster, the skin is flushed, but dry and dusky, and the tongue is covered with a dirty fur, with a tinge of brown. The nervous system suffers especially in these cases. In some there is great excitement for the first day or two, even delirium and sometimes convulsions, afterward coma. In the majority of cases, however, dullness and hebetude are marked symptoms; the child dozes with its eyes partly open, the coma gradually increases till the child can not be aroused. In all these cases the eruption is more or less dusky, or it may occur as petechial patches, and hemorrhage may occur from the various orifices of the body. “Retrocession.—There may be retrocession of the eruption of measles at any time after it has appeared. In the milder form of the disease this increases the fever and the bronchial irritation, and, though unpleasant, is not dangerous. In other cases we will find the nervous system suffering severely from the retrocession, and, if it continues, the blood also becomes impaired. In these cases dullness, stupor, and coma follow one another rapidly; the skin is dusky, the temperature increased, the tongue becomes brown, and sordes appear upon the teeth. These symptoms are of a grave character, and unless prompt means are employed to bring the eruption again to the surface, it may terminate fatally in a short time.” (Scudder.) Irregular Course.—While measles usually presents a uniform course and is readily diagnosed, we are not to forget that occasionally a case will present itself which is somewhat puzzling to the practitioner, owing to the absence of some one of the prominent stages. Thus, there may be an absence of the catarrhal symptoms, “Moribilli sine catarrho,” the The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 138
eruption appearing without the customary announcement; or these earlier symptoms may be present, suggesting measles, and yet no eruption appear, though the cough and catarrhal symptoms point to measles. This has been termed Moribilli sine exanthemate. Complications and Sequelae.—Perhaps the most frequent and also most severe complication is that of some part of the respiratory apparatus. While a certain degree of bronchitis attends every case of measles, yet there may be an extension to the smaller bronchioles and a broncho-pneumonia result, or, in delicate children. a capillary bronchitis develop. These complications usually occur among- debilitated children, and are recognized by the adventitious sounds; viz., the crepitant, followed by the subcrepitant rales. These complications, of course, add to the gravity of the disease. Conjunctivitis.—This is not an uncommon complication. There is marked congestion of the conjunctiva, a high grade of inflammation is set up, suppuration occurs, giving rise to purulent ophthalmia. Granular ophthalmia tarsi is apt to result from this complication. Catarrhal inflammation of the middle ear is one of the distressing complications, as it leaves a serious lesion behind. The inflammation is followed by suppuration and perforation of the membrane, deafness being a result. Catarrh of the intestine is not an infrequent result, especially if an injudicious use of cathartics has been made in the beginning of the disease. Stomatitis is somewhat rare, though occasionally present, the inflammation extending to the throat. Following measles, the child, debilitated by the combined forces which have been at work, falls an easy prey to the ravages of tuberculosis. The soil is ready for the phthisical germs, and their further development speedily follows. Diagnosis.—The diagnosis of measles is usually readily made. It is recognized from scarlet fever by the longer period before the eruption, by the irregular and blotchy character of the eruption, the absence of sore throat, the presence of the bronchial cough, and the initiatory catarrhal symptoms. The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 139
Page 1 and 2: SCARLET FEVER. Synonyms.—Scarlati
Page 3 and 4: and during the period of desquamati
Page 5 and 6: ight scarlet color from which the d
Page 7 and 8: diphtheria. The deeper tissues beco
Page 9 and 10: the epidemic, the previous health a
Page 11 and 12: There are so many unpleasant sequel
Page 13: a constant factor, and is hoarse or
Page 17 and 18: eneficial, not only in relieving th
Page 19 and 20: four hours after the invasion, upon
Page 21 and 22: other gland being at all affected,
Page 23 and 24: an inflammation of the larynx would
Page 25 and 26: amount of air passing through the c
Page 27 and 28: DIPHTHERIA. Synonyms. — Diphtheri
Page 29 and 30: We are inclined to believe that the
Page 31 and 32: Unhygienic Conditions.—Poor sanit
Page 33 and 34: troubles, as hemiplegia and multipl
Page 35 and 36: first case.” Malignant Diphtheria
Page 37 and 38: favorable in the forms of paralysis
Page 39 and 40: strength. If the tongue and mouth b
Page 41 and 42: acillus of Pfeiffer the causal agen
Page 43 and 44: certain conditions, rather than in
Page 45 and 46: Predisposing causes are, poor hygie
Page 47 and 48: complains of burning and smarting,
Page 49 and 50: disease. The membrane disappears, t
Page 51 and 52: the gonococcus, the bacillus coli c
Page 53 and 54: The course of the disease is marked
Page 55 and 56: This Koch announced to the expectan
Page 57 and 58: followed by tuberculosis. They furn
Page 59 and 60: spleen, and heart are less seldom a
Page 61 and 62: Pulmonary Form.—The general sympt
Page 63 and 64: face. Optic neuritis, together with
Page 65 and 66:
Local Tubercular Adenitis.—Cervic
Page 67 and 68:
color, or clear, with more or less
Page 69 and 70:
symptoms, together with the persist
Page 71 and 72:
character, night-sweats occur, emac
Page 73 and 74:
Laryngitis.—At other times it beg
Page 75 and 76:
alarming condition early in the dis
Page 77 and 78:
Gastro-Intestinal Disturbance.—Th
Page 79 and 80:
onchitis, and crepitant and subcrep
Page 81 and 82:
with little or no fever, the diseas
Page 83 and 84:
viscera, the diagnosis is extremely
Page 85 and 86:
Tuberculosis of the Kidney.—Tuber
Page 87 and 88:
opposite to those above mentioned.
Page 89 and 90:
This is not always easy to determin
Page 91 and 92:
1/60 grain doses may also be given
Page 93 and 94:
is responsible, not only for diphth
Page 95 and 96:
and vary in size from that of a mil
Page 97 and 98:
and leave behind a cicatrix, a cons
Page 99 and 100:
jaundice is sometimes observed, and
Page 101 and 102:
present, inquire as to pruritis, if
Page 103 and 104:
described by Benjamin Rush. From 18
Page 105 and 106:
great nervous irritation. For the m
Page 107 and 108:
Exciting Cause.—To Kitasato belon
Page 109 and 110:
Treatment.—The treatment heretofo
Page 111 and 112:
The specific cause, the bacillus le
Page 113 and 114:
death, the leper's friend, comes to
Page 115 and 116:
hours, small nodules develop, which
Page 117 and 118:
proliferated connective tissue-cell
Page 119 and 120:
survive for some minutes at a tempe
Page 121 and 122:
same as wool-sorter's disease, and
Page 123 and 124:
From two weeks to three months is t
Page 125 and 126:
this purpose. The patient should be
Page 127 and 128:
e a rupture of the muscles. Any sli
Page 129 and 130:
INFECTIOUS DISEASES OF DOUBTFUL NAT
Page 131 and 132:
disease. “Synochal and Synochoid
Page 133 and 134:
“The condition of the nervous sys
Page 135 and 136:
“With Predominant Affection of th
Page 137:
high, and the tendency is to typhoi
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SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

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