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

viscera, the diagnosis is extremely difficult, especially if the temperature
range is nearly normal. If there is a continued elevation of temperature,
and a transverse tumor below the transverse colon, with emaciation and
anemia, there should be but little trouble in the diagnosis.
Tuberculosis of the Alimentary Canal.—Of the Lips.—This is a
very rare site for tuberculosis, and when it is, it is usually as an ulcer
associated with pulmonary or laryngeal disease. The ulcer is extremely
sensitive, and not unlike a chancre or epithe-lioma. It is only recognized
by the aid of the microscope.
Of the Tongue.—This, like the preceding, is usually associated with
disease of the larynx or neighboring parts. It occurs as an irregular
ulcer at the base of the tongue, though in rare cases the tip may be
involved. It closely resembles a syphilitic ulcer, and requires great care
in the diagnosis. The salivary glands seem to possess an immunity,
though not quite absolute, as cases have been recorded.
Of the Palate.—This is seen in the form of miliary tuberculosis, and
appears as a superficial ulceration of the tonsils, which requires a
microscopic examination to reveal its true character. Like those just
considered, it is commonly associated with tuberculosis of other parts,
through the pharynx. In phthisis pulmonalis, during the latter stages, it
is not uncommon to have ulceration of the larynx and epiglottis as a
complication, and where this takes place the pharynx is nearly always
involved. The ulceration is not always extremely painful, but often
renders deglutition impossible, and the fluids are returned through the
nose. The last days of life are rendered distressing, and the patient
literally starves.
Esophagus.—The few cases recorded have been the result of extension
from the larynx.
Stomach.—This rarely, if ever, is seen as a primary lesion. It may occur
as a miliary or chronic caseous variety. The ulcers may be single or
multiple, and involve the mucosa, though perforation has been
recorded. The symptoms are pain, nausea, and vomiting, especially after
eating. These symptoms may exist with tubercular laryngitis; but if
hemorrhage occurs with the vomiting, and there be tuberculosis of the
other parts, the probability is that there is tuberculosis of the stomach.
Intestines.—This, in the adult, is nearly always secondary to
The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 207