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
Catalogue details

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.

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    larly when situated in the throat, I prescribed an emetic of [R. pulvis ipecacuanhas 5ss;] to remove the irritation from retention of fseces, a warm infusion of rheum palmatum ; for the inflammation of the throat, steam, and a lotion of sul- phuric acid and sage tea, as mentioned above; to stop the progress of gangrene, already commenced in the soft palate, a tablespoonful of a decoction of the following recipe every three hours: R. Corticis Cinchonce rubrse Aristolochise serpentariae aa 3ji. Misce et contunde : Diet. Farinaceous decoctions. This course had the effect of intercepting the progress of mortification, a line of separation being very visible. The mortified part that sloughed off, comprehended so much of the soft palate as to render enunciation ever after nasal, harsh and indistinct. Of the therapeutic agents, steaming the throat was obviously the most efficacious remedy in subduing the inflamma- tion, and promoting the separation of the sphacelated part. With the exception of the loss of a portion of the velum palati and uvula, his recovery was perfect. Case Second. A lad about six years of age, was attacked with severe inflammation of the throat; I visited him at an earlier period than the first. The inflammation was erythe- matic, but the redness was not of so deep a hue as in the former case. The febrile symptoms were more acute, and the signs of irritation more marked. His strength like the other lad's was very much prostrated. Treatment. With the exception of the administration of the wine of antimony in small but repeated doses, and the omission of the astringent and stimulating decoction, a similar course was pursued in this case as in the first.