Zymotic diseases : their correlation and causation / By A. Wolff.

  • Wolff, Abraham, 1819-1892.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: Zymotic diseases : their correlation and causation / By A. Wolff. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    be drawn off by catheter, or it dribbles away; lie lies upon his back and appears unable to maintain even that position, but keeps slipping down to the lower part of the bed; there are muttering delirium and subsultus tendinum; the eruption becomes darker in colour, and looks like small spots of pur- pura ; the spots do not now disappear on pressure; there is a peculiar foetid odour both from the breath and the skin ; sometimes the skin over the sacrum becomes dark and sloughs. As the case draws near its termination the symptoms become more intense, the stupor becomes coma; the pulse, from being rapid and weak (120 to 140), becomes uncertain, fluttering, and is with difficulty to be felt; the tem- perature falls, the extremities become cold, and unless a decided improvement takes place (and this improvement sometimes occurs very suddenly and decidedly), the patient dies about the twelfth or fourteenth day. Post-mortem Appearances. It has been noticed that putrefaction is more than ordinarily rapid after death from typhus fever, and that the stage of muscular rigidity is of short dura- tion and ill-defined. There is dark discoloration of the skin in patches, and this is more marked in the course of the large venous trunks. The muscles are darker than usual, and their c