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

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diseased turkeys, which would seem quite convincing. The author says:<br />

“On the Island of Skiathos, off the northeast coast of Greece, no<br />

diphtheria had occurred during at least thirty years previous to 1884,<br />

according to Dr. Bild, the medical practitioner of the island. In that year<br />

a dozen turkeys were introduced from Salonica. Two of them were sick<br />

at the time, and died soon afterwards. The others became affected<br />

subsequently, and of the whole number seven died, three recovered,<br />

and two were sick at the time of the inquiry. The two had a pseudomembrane<br />

upon the larynx, difficult breathing, and swelling of the<br />

glands of the neck. As further evidence that the disease was true<br />

diphtheria, one of the turkeys, which had survived, had paralysis of the<br />

feet. The turkeys were in a garden on the north side of the town, and<br />

the prevailing winds on the island are from the north. While this<br />

sickness was occurring among the turkeys, an epidemic of diphtheria<br />

commenced in the houses in proximity to the garden, and spread<br />

through the town. It lasted five months, and of one hundred and<br />

twenty-five cases in a population of four thousand, thirty-six died.<br />

Diphtheria from this time was established upon the island, and frequent<br />

epidemics of it have occurred since.”<br />

Predisposing Factors are age, season, climate, and unhygienic<br />

conditions.<br />

Age.—Diphtheria is essentially a disease of childhood, though no age is<br />

exempt. The ages most susceptible are those between two and eight<br />

years, the receptivity diminishing each year thereafter. During the first<br />

year of life it is also infrequent, most likely owing to lack of exposure in<br />

the very young. One attack does not render the patient immune.<br />

While elderly people are not so liable to the disease, physicians and<br />

nurses should be very careful while examining or treating the throat;<br />

for in the struggle of the child a portion of the membrane may be<br />

forcibly thrown into the face and eyes of the attendant during a fit of<br />

coughing.<br />

Season.—It prevails more extensively during the winter and spring<br />

month's.<br />

Climate.—The disease occurs more frequently in cold and temperate<br />

climates than in the tropics. Moisture favors the propagation of all<br />

germs; hence damp cellars, where mold collects, favors the spread of the<br />

disease.<br />

The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 154

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