On the surgical complications and sequels of the continued fevers / by Willialm W. Keen.

Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: On the surgical complications and sequels of the continued fevers / by Willialm W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    studied of late by ophthalmic writers, as to leave but little further to be said, and I must refer those who desire to study it to the appended Bibliographjv I shall include only such cases as diseases of the joints, oedema glottidis and necrosis of the cartilages of the laiynx, which often require tracheotomj'^, necrosis of the bones, gan- grene of the extremities and other parts, fistulae of various kinds, and the like. The records of many cases are extremel}^ imperfect, some in faet are mere allusions, and I have been compelled therefore, in tabulating them, to come as near the truth as may be. The frequeney of many symptoms is therefore greater than appears from my tables. Especially is it difficult to discriminate between tj-phus and tj-phoid fevers as causes. The earlier cases, before the essential abdominal lesion of typhoid was recognized, are all classed as typhus, and even to-da}'’ man}' eases, especially in German books and journals, are briefly called “ t3’phus,” meaning “typluis abdominalis,” i. e., t}'phoid. If any error exist, therefore, it will consist in assigning too many cases to typhus proper, for I did not feel permitted to go back of the record unless plainly authorized to do so by the history or the post-mortem. I. DISEASES OF THE JOINTS. Two forms of disease of the joints are found, first a poly- articular inflammation, which may assume either a rheumatic or a pyemic form; and, secondly, a monarticular inflammation. The rheumatic variety I shall at once dismiss. The pyemic form of inflammation is not very common, for Murchison, with his immense expeidence in the London Fever Hospital, has seen but one case. It follows the usual course of pyemia, botli in its symptoms and its usually fatal issue. Huss and others have referred it to suppurative phlebitis from bedsores,