Remarks on the climate and the principal diseases occurring in Belgium / by James Milman Coley.

  • Coley, James Milman.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the climate and the principal diseases occurring in Belgium / by James Milman Coley. 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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    intorniittiiig, but unequal in its pulsation ; some- times observing one rale, sometimes another. The patient lies prostrate, generally dosing with his mouth open, and when he is roused, his eyes have a giddy expression. This species of typhus usually arises from the morbific effluvia of animal matters in a stale of decomposition, as from drains or from the bodies of persons dying with typhus, in whom a peculiar animal poison is generated during fatal collapse. When this disease is severe, the blood soon becomes vitiated, losing a large proportion of its fibrine and being unfit for the proper purposes of the circulation; whence portions of it arc extra- vasated under the cuticle, j)roducing the eruptions called petcchiae, or the serous part only is effused in ])atclies elevating the epidermis into vesicles of a small or larger size. 2. The inflammatory is by far the most common form of typhus in this country. It is distinguished by being connected with some obvious inflamma- tion as in the boAvcls, the peritoneum, the mem- branes covering the lungs and lining the chest, those enveloping the brain, etc. At the hdpital Saint-Jean, the largest hospital in this city, contain- ing about 430 beds, avc find that every fatal case of typhus presents after death appearances of an inflammatory character, and scarcely one in a thou- sand is exempt from ulceration in the solitary or aggregate glands of the ilium. This latter fact may he accounted for by the previous diarrhoea or