Hydatids from the left lung, subsequently to the occurrence of typhoid fever, complicated with double pneumonia.

  • Black, Cornelius, 1822-1887.
Date:
[1853]
Catalogue details

Licence: Public Domain Mark

Credit: Hydatids from the left lung, subsequently to the occurrence of typhoid fever, complicated with double pneumonia. 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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    with a slight, white fur; there was little or no thirst; the bowels were regular; and the appetite, deficient in the morning, was reported to be very good in the latter part of the day. The quantity of sputum expelled in twenty-four hours amounted to two ounces by measure; its colour being yellowish- white; and,on thel3th of May, it had the specific gravity of 1’026. Microscopically examined, at this period, it exhibited great numbers of pus-cells, varying in size from T51-goth to 0th of an inch in diameter ; plastic-cells of similar growth; exudation- masses and exudation-cells, large, well-developed mucus-cor- puscles, and here and there a basement patch. Immediately, however, before the expulsion of the hydatids, a few bronchial casts were, in addition to the above structures, present in the sputum. Pig. B, Plate II, represents the microscopic character of the sputum at the date above-mentioned. A careful analysis gave the following composition :— Water In 100 parts. 97-29 Organic Matter 2-29 Chlorides of Sodium and Potassium . ‘ }• '36 Alkaline Sulphates and Phosphates . Lime (mnaed. as Chloride) .... •06 100-00 On comparing the above analysis with the previous one, it will be seen, that the sputum of the 13th of May, contained less organic matter and more salts than that of the 23rd of February. The reason of this is discoverable in the microscopy of the sputa at these periods, which shows that, in the sputum of the 23rd of February, a considerable portion of the organic matter was due to the presence of portions of the different str uctures composing the pulmonary tissue ; whilst that of the 13th of May consisted almost entirely of structures in the pro- cess of growth, the required conditions of which involve the necessity for the presence of the alkaline salts of the blood in greater proportion than is observed in structures which have already completed their development. Now as, in the sputum of the 13th of May, cell-growth was in excess of that observed