The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick.

Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick. 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.

    470/492 (page 466)
    out any apparent affection of the genital organs; yet her dis- ease began on !March 12, in the face. A pregnant woman named Anschutz occupied the same room with this patient, and as earlj^ as March 13, had a commencing erysipelas faciei^ ushered in by a chill, and subsequent feverishness, after the trouble had almost disappeared from Schroeder. Although immediately isolated and suitably treated, the patient attacked by n;eningitis attended by very high fever, and suc- cumbed on March 16. 3. Scarlatina Puerpcralis. There is no doubt that scarlatina also may occur primarily in lying-in women. Its appearance, however, is extremely rare, and it is not to be denied that those authors who assert that puerperal women are more liable than other adults to be attacked with this affection (Berndt, Sen.), and that at this time it more frequently assumes an epidemic form (Malfatti, Eisenmann, Hodge), have had to do, not with primaiy scarla- tina, but rather with the inflammations of the integument that accompaTiy septic puerperal affections; at least, that is the conclusion that would be naturally arrived at from a perusal of the description given by Malfatti (which is known to me through Berndt’s 7vTra??/;/it’z7en der Wbehnerinnen^'^. 297). It is stated ex])licitly by this writer; “In these cases there were detected upon the os uteri, traces of an antecedent in- flammation, a quantity of purulent matter, wliile the edge appeared of a dark, livid color which penetrated more or less into the substance. In some instances an odor was evolved from the discolored tissue resembling that peculiar to a slough: The i)arts involved in the process of labor also seemed to be inHamed.” The conta«:iou8 nature of scarlatina is so well established, as is, furthermore, the rule that this exanthema appears commonly but once in human beings, that when lying- in women, who have previously had this disease, and in whose case the idea of contagion can with certainty be excluded, become the subject of this doubtful eruption, we are justified in pronouncing this to be not scarlatina, but rather a trau- matic, or symptomatic, dermatitis, which lias nothing in com- mon with scarlatina but the color. Another mistake, which is likely to occur, is the confound- ing of primary scarlatina, which may supervene in childbed