Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling.

  • Stirling, Edward Charles, 1848-1919.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling. 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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    On the following clay the general indications pointed to an eruptive fever, and on the next appeared a scarlatinal rash, with the characteristic sore-throat. M. Hardy dia- gnosed scarlet fever in this case also. The fever developed regularly, and albuminuria in time revealed itself, which, however, disappeared after some days, on the evacuation of some pus that had accumulated in the supra-pubic abscess. M. Trelat quotes also a case occurring to one of his pupils, M. Cartaz, who, during the Franco-German cam- paign of 1870, resected a knee four days after a gunshot wound. On the third day after the operation a scarlatinal rash appeared, accompanied by high fever. No scarlatina was known to exist in the camp at the time, but two cases occurred ten days afterwards. In carefully reviewing these cases M. Trelat comes to the conclusion that they were scarlatina, and in this opinion he is confirmed by the high authority of M. Hardy; a conclusion to which, I think, the evidence most certainly points. Henoch* also mentions the case of a boy who was suffering from a large pectoral abscess, the result of a blow. This was opened under carbolic spray, and treated antiseptically, and with a drainage-tube. On the two following days he appeared to be doing well, the tempera- ture not exceeding 101*3°; but on the third day after the operation there was marked redness of the face, arms, and inner surface of the thighs; this spread over the back, thorax, arms, and legs. The tongue was white in the middle, with the tip and edges red. There was marked sore-throat, and the temperature ranged from 98*3° to 99*3 . In two days from its first appearance the rash began to get paler; there were many miliary vesicles on the upper part of the thigh, and the tongue became red and smooth, with prominent papillae. In another day the rash and vesicles had completely disappeared, and the temperature became absolutely nor- mal. Ten days after the appearance of the eruption there * Charitc Annalen, iii. Jabrgaug 1876.