Purulent pericarditis following pneumonia : pericardotomy; drainage; subsequent empyema; operation followed by erysipelas and axillary abscess; recovery / by F.C. Shattuck and Charles B. Porter.

  • Frederick Cheever Shattuck
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Purulent pericarditis following pneumonia : pericardotomy; drainage; subsequent empyema; operation followed by erysipelas and axillary abscess; recovery / by F.C. Shattuck and Charles B. Porter. 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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    was opened and 24 ounces of creamy pus evacuated. Drainage and irrigation through catheter; profuse dis- charge. Child died at end of fifteen days. At autopsy lymph and adhesions were found walling off pleural cavity; parietal pericardium much thickened; good drainage of sac. William Pepper. Young man of nineteen. Influ- enza; joint pains; temperature 104.2°; enlarged peri- cardium. After aspiration drainage by rubber tube in fifth left space; profuse discharge of pus. Lived two days. At autopsy a little pus was found in pericardium, but the whole sac was greatly distended with very large masses of fibrin. Regrets not making much larger in- cision. Osler-Halsted. Purulent pericarditis after acute necrosis of bones of nose. Incision in fifth space. Drainage with gauze wick. Excellent drainage up to death in sixteen days. Mr. Howard Marsh recorded a case of suppurative pericarditis. Male, age fourteen. Admitted to hospi- tal in very exhausted condition. Incision made just below nipple, through an intercostal space. Pericar- dium bulged forward. Patient died on fourth day. No drainage-tube. Amount of fluid in sac not stated. No irrigation. Korte. Child of seven. Osteo-myelitis of tibia, pyemia, with staphylococcus aureus. Large area of pericardial dulness ; pulse 160; cyanosis. Aspiration in fifth left intercostal space; purulent fluid containing aureus. Resection of fifth rib for two inches from sternum. On opening pericardium a quart of offensive pus was evacuated. Pericardium was covered with an abundant coating of lymph. Irrigation had no bad effect on the heart, which improved after drainage. Abundant discharge for a number of days. Child died on twelfth day. At autopsy the pericardium con-
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