An obstinate case of purpura hemorrhagica / by J.H. Burch.

  • Burch, John Holcomb.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: An obstinate case of purpura hemorrhagica / by J.H. Burch. 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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    [Reprinted from The Medical News, Apr. 8, 1898.] Pf f: AN OBSTINATE CASE OF PURPURA HEMOR- RHAGICA. By J. H. BURCH, M.D., OF BALDWINSVILLE, N. Y. The patient, Susie C., aged fourteen, a blonde, of Irish parentage, weighed at the commencement of her illness 125 pounds. Her mother and father had always been healthy, but the latter's brother had died from the effects of excessive loss of blood from a very slight scalp wound, the hemorrhage, it was said, having been uncon- trollable. The patient had been apparently strong and wrell-nour- ished up to the age of seven years, when she was suddenly attacked by epistaxis, the hemorrhage, I am told, being excessive and demanding repeated post-nasal plugging for several days. The physician in charge, Dr. Barton of Clyde, N. Y., informs me that the attack began with a pronounced chill, and that at the end of the third day purpuric spots appeared on the child’s leg and abdomen. She recovered from this attack and remained in good health until September 7, 1886, when, without premoni- tory symptoms another attack was ushered in by a severe chill, followed by high fever, her temperature at 9 a.m. being 105° F. and her pulse 150, very weak and feeble. On September 8th her temperature was ioo° F. and her pulse 120. The following day her temperature was normal and she felt fairly well and seemed to be in a fair way toward a rapid recovery, but on September 11 th she again had a very severe chill which was followed by high fever, her temperature reaching 105° F. This was followed by sweating and a reduction of temperature. During the sweating stage an oozing of blood from the mucous membrane of the gums and mouth occurred,