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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    ered with bed-clotbes was repulsed; and on account of extreme suffering from heat, we were induced to comply with her earnest solicitation of being clad as thinly as possible. To obviate any injurious effects from exposure to the impression of cold, the temperature of the room was preserved at a high elevation. There was still no cutaneous erubescence, but the color of the mucous membrane of the lips and mouth was a very deep red. Magnesia calcinata and vinum tartratis anti- monii in small doses ; these articles, together with the internal use, as mentioned, of tepid water, exposure to air comparatively cool, frictions to various parts of the surface to allay in some measure the irritation from excessive itching, were the only remedies employed. The disease had now arrived at its acme. Oct. Z\st. After the most intense distress for twenty-four hours, notwithstanding the cough grew worse, a profuse ptya- lism supervened, and extreme prostration of strength contin- ued, an abatement of the lesion of innervation, though scarcely perceptible, afforded some slight ground of encouragement the crisis might prove favorable. [The physic procured two offensive discharges.] JVoi?. \st. Last night the itching had remitted so much as, at times, to allow her to take some imperfect repose ; cough harassing ; ptyalism profuse; prostration of strength great; ichorous defluxion from the head excoriating the portion of the pituitary membrane of the anterior nostrils and upper lip. For the excoriation cold cream was applied; for the ptyalism divided doses of magnesia calcinata. After much persuasion a few table spoonfuls of cracker gruel were taken. Nov. 2d. With the exception of cough, ptyalism and de- bility, the prospect of returning health was flattering; the patient began to take nourishment more freely. JVov. 3d. From this period convalescence was slowly but regularly progressive ; the symptoms daily becoming milder, till health was ultimately re-established.