On scarlatina : in a letter addressed to his son, in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligna vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls.
- William Ingalls
- Date:
- 1837
Licence: Public Domain Mark
Credit: On scarlatina : in a letter addressed to his son, in which is contained cases of angina sine efflorescentia, scarlatina anginosa, benigna, maligna vel angina gangrenosa, and their sequelae : also, observations on various therapeutic agents that have been employed in the treatment of scarlatina / by William Ingalls. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
18/42 (page 16)
![prevailed previously to my retiring to the country in '34, I met with but one : though in many respects its characters were equivocal, still it may be considered as consecutive to scarlatina. Case which proved fatal. In a child two years o£ age, of a lymphatic temperament, a tumour supposed to be phlegmonous originating under the right angle of the lower jaw, grew to a great size. [The child was taken care oC tlirough the eruptive stage by the nurse, a very intelligent per- son : my attendance was requested on account of the swell- ing, which, when 1 first saw it, was of very considerable mag- nitude and continued to increase till its dimensions became enormous.] The tumour was of a conical form, and eventu- ally extended across the neck and reached as far as the top of the sternum. At this stage, it communicated to the touch rather the elastic resistance of flesh, than the hardness of phlegmon. There were no signs of its substance falling into suppuration except at the apex, where a very small quantity of pus was ultimately secreted, and discharged without relief of diminution of bulk. The rest of the tumour was a solid mass ; and undoubtedly owed its growth to the hypertrophied state of one or more tissues. The base of this enormous tumour ultimately compressed the- pharynx and upper end of the oesophagus, so as wholly to ob- struct the passage of the ingesta to the stomach; and it was necessary to keep the patient in a sitting posture to prevent the total interruption of inspiration, which would otherwise have taken place instantly in consequence of the pressure of the tumour on the larynx and trachea. Treatment. As the strength of the child was very much reduced by the disease and low diet, a restorative course was resorted to with partial effect; the symptoms became less vie-](https://iiif.wellcomecollection.org/image/b22274376_0020.jp2/full/800%2C/0/default.jpg)
