On the inflammatory diseases of the kidney / [Sir George Johnson].

  • George Johnson
Date:
[1847]
Catalogue details

Licence: Public Domain Mark

Credit: On the inflammatory diseases of the kidney / [Sir George Johnson]. Source: Wellcome Collection.

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    College Hospital. She liad suffered much from secondary syphilis, and, at the time of her admission on the 26th Nov. 1845, was very weak and emaciated, had cough with mucous expectoration and night sweats, and had very painful nodes on the shin bones. She soon began to improve under the use of Iodide of Potassium and a nutritious diet. In the early part of December, symptoms of renal disease were first observed; she had frequent vomiting, and on tlie 16th Dec. the urine was found to be scanty and very albuminous. The day before this, she was seized with pleurisy on the left side. These symptoms continued until the 11th January, when she died. The kidneys presented all the characters of “ acute desquamative nephritis,” and there was a scro-purulcnt liquid in the left pleura. In another case the disease appeared to arise from mental anxiety, combined with insufficient food; and in several others it could be traced to a want of sufficient food, with the addition, in some cases, of bodily fatigue and exposure to wet or cold. The Medical Times, of May 22nd, 1847, contains the re¬ port of a very interesting case, evidently of acute nephritis supervening upon the suppression of an extensive eruption of impetiginous eczema. The case occurred in the Hospital Saint Louis, and is thus reported :—“ R-, mtat. 27, a porter, was admitted into the hospital on the 10th March last. Some months previously, under the influence of cir¬ cumstances which remained unknown, a scaly eruption showed itself on the body and limbs : warm-baths were exhibited; the scales fell, and an eruption of impetiginous eczema ap¬ peared on the thighs, scrotum, and arms. The eruption was rapidly yielding to a mild antiphlogistic treatment, when, on the 12th April, oedema of the face, intense pain in the lumbar region, and suppression of urine, were observed, together with a considerable degree of dyspnoea and fibrile excitement. In the peritoneal cavity a certain amount of effusion was also detected. The urine, which at first was altogether sup¬ pressed, was afterwards secreted, though very scantily, and Mras found to contain a large quantity of albumen. The
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