Remarkable case of abscess of the dura mater and brain, following a blow on the head : a clinical lecture / by I. Burney Yeo.

  • Isaac Burney Yeo
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Remarkable case of abscess of the dura mater and brain, following a blow on the head : a clinical lecture / by I. Burney Yeo. 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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    with the temperature. His tongue was moist, and but slightly coated. He complained occasionally of a little pain in the epigastric and right hypochondriac region ; but there was no other evidence of gastro-hepatic derangement. Again he said, during this second defervescence, that he felt quite well, only weak. November 21st. Morning temperature,’98.2 deg.; evening, 100.6 deg. November 22nd. ,, ,, 97-4 >> 9^ After a remission of three days, on the evening of the 23rd, the tem- perature began to rise again. November 23rd. Morning temperature, 98.8 deg.; evening, 101.2 deg. And now another phenomenon made its appearance; viz., the occur- rence of pain in the left elbow-joint, which soon became much swollen from effusion into the joint. Let me say at once that this could not have been pyccmic. It disappeared completely with warm fomenta- tions, and subsequently blistering two inches above the joint; and, at the autopsy, the joint was found perfectly healthy. November 24th. Morning temperature, 98 cleg.; evening, 100.6 deg. November 25th. ,, ,, 100.2 ,, 100.2 November 26th. ,, ,, 100.2 ,, 100.6 Hitherto we had been watching the course of the fever, without making any attempt to modify it by therapeutic agents; but, now that the temperature appeared to be slowly but steadily rising a third time, and as we had had no trace of cerebral symptoms, we began to think that he was suffering from some anomalous form of fever due to blood- contamination, and gave him full doses of quinine—three grains three times a day. November 27th. Morning temperature,99.2 deg.; evening, ioi.4deg. November 28th. ,, ,, 99.2 ,, 100.4 November 29th. ,, ,, 99.4 ,, 99.4 November 30th. ,, ,, 100 ,, 101.8 As the temperature was again rising, the quinine was ordered to be given four times a day; and for the next four days the temperature did not rise above the normal. December 1st. Morning temperature, 98.4 deg.; evening, 9S.4 deg. December 2nd. ,, ,, 98.2 ,, 97.6 December 3rd. ,, ,, 9S.4 . ,, 98.8 December 4th. ,, ,, 9S.2 ,, 98.4 This, then, was a third febrile attack (modified, no doubt, by the quinine), and a third prolonged intermission. During the last four days, the patient said he felt quite well. His tongue was clean; his appetite good; his elbow was less swollen and much less painful; and he had excellent nights. He had made no complaint of headache for more than three weeks, and for a third time he appeared to be convale cent. He was, however, much emaciated. On December 5th, a little rise in temperature and frequency of pulse was noted. The morning temperature was 99.6 deg., evening 100 cleg-5 pulse 120. He was still taking the quinine.