A case of actinomycosis hominis / by Sheridan Delépine.

  • Delépine, Sheridan, 1855-1921.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: A case of actinomycosis hominis / by Sheridan Delépine. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Reprinted from the ' Transactions of the Pathological Society of London,' 1889. A case of actinomycosis hominis. By Sheridan Delepine, M.B. [With Plates XXVII, XXVHI, and XXIX.] Preliminary remarks.—Dr. Gamgee had promised to give a complete account of the nervous phenomena observed by him during the time the case was under his care. Owing, however, to a sudden illness he has been unable to carry this intention out, and after waiting several months I find myself obliged to take the entire responsibility of a communication which I had hoped might have been a joint one. In order to compensate in some measure for the absence of Dr. Gamgee's observations, I have asked the Eegistrar (Dr. Sisley) to give me a short abstract of his report on the case. This he has kindly done. By putting together the data which I had obtained from Dr. Gramgee's original communica- tion and those provided by Dr. Sisley, I am able to give the following short clinical sketch. I must, however, repeat that Dr. Gamgee intended to give a much fuller account of the nervous symptoms than I am able here to do. History.—The patient, a decorator, sixty-five years of age, was admitted to St. George's Hospital, under Dr. Gamgee's care, on the 15th of August, 1888. In 1887 he suffered from a series of abscesses of the abdominal wall, and was treated during about four months by Dr. Eoberts and Mr. Beck at the University College Hospital. After leaving the hospital, and being readmitted once more on account of the formation of a new abscess, he was sent convalescent to Eastbourne. On coming back to London (five or six weeks before his death) the patient had cough, dyspnoea, and pain in the left side of the chest. Four weeks before his death he noticed for the first time loss of power in the right leg and arm. On admission (seven days before his death), the man was spare, pale, and looked very ill. He had cough and dyspnoea. The physical signs of effusion into the left side of the chest were present. Several scars were observed on the chest and abdomen. There was loss of power in the right arm and leg. There was no ankle-clonus, no knee-jerk, no loss of sensation, no hyperesthesia, no reaction of degeneration, no headache. Soon after admission