The diseases of infancy and childhood : for the use of students and practitioners of medicine / by L. Emmett Holt and John Howland.
- Luther Emmett Holt
- Date:
- 1911
Licence: Public Domain Mark
Credit: The diseases of infancy and childhood : for the use of students and practitioners of medicine / by L. Emmett Holt and John Howland. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
1139/1178 page 1077
![cases are extremely rare. I have myself seen but two. As observed by others, tlie lesions do not differ in any marked way from those of the adult form of the disease. The most important changes are the destruc- tion of the red corpuscles of the l)lood, enlargement, and in chronic cases hyperplasia with pigmentation of the spleen; less frequently pig- mentation of the liver, kidneys, and brain. Pneumonia and gastro- enteritis are occasional complications. DAY 1 ' ■J ^ 6 7 HOUR 2 6 10 2*6'l ! G 1 2 \;o 2^^o ,r. A.M. 2 6 10 P.M. 2 *e-,o 1 2 %-,o 106° 105° lol 103 102° 101° 100 99 98 97° 1 1 Ji 1 1 1 1 1 1 1 1 1 I \ 1 ^ 1 1 1 \ I ] 1 \ 1 \ \ 1 \ \ 1 / \ 1 / 1 « 1 ' s, 1 \ 1 A ,f 1 \ .• ^ V s / 1 ^ ^ ^ .1 \ \ __ J I' ~ 1 / \ / \ / \ / V.>' 1 1 1 ^'l 1 _ , ,_ Fig. 219.—Typical Malarial Temperature, Quotidian Type, in a Boy Six Years Old. Each paroxysm preceded by a chill. It will be noticed that the temperature rose higher with each succeeding paroxysm; Xmarks the time when quinine was begun. Symptoms.—The clinical forms of malarial fever in children from six to ten years old, do not differ essentially from the same disease in adults. Both intermittent and remittent forms occur, the former being the type usually seen. Of the different varieties of intermittent fever, the quo- tidian (Fig. 219) is the most common, although the tertian (Fig. 220) is fairly frequent, but in this locality the quartan is extremely rare. The stages of the paroxysm are generally well marked. The cold stage begins with a chill or vomiting, with headache, lassitude, and general pains.](https://iiif.wellcomecollection.org/image/b21218407_1139.jp2/full/800%2C/0/default.jpg)
