Destruction of the uvula in Vincent's angina / by J.D. Rolleston.

  • Rolleston, John Davy, 1873-1946.
Date:
[1912]
Catalogue details

Licence: In copyright

Credit: Destruction of the uvula in Vincent's angina / by J.D. Rolleston. 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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    a trace of albumin in the urine from February tbe lltli to the 19tli no complication occurred. The knee- and ankle-jerks remained active, and there was no sign of diphtheritic paralysis. The child was discharged in good health on April the 5th, and was shown before the Section for the Study of Disease in Children of the Royal Society of Medicine on April the 26th, when loss of the uvula and anterior pillars and portion of the soft palate and tonsils could be seen. The free margin of the soft palate presented a depressed pale area of scar-tissue. The voice was still slightly nasal, but there had been no further difficulty in swallowing The features of interest in the case are, first, the exceptional severity of the attack, and secondly, the behaviour of Wassermann’s reaction. VincenFs angina is usually a mild affection, and readily yields to local treatment, such as painting with tincture of iodine or JAN. FEB. applications of methylene-blue ]30wder. Local treatment, however, in the present case proved unavailing, and improvement first seemed to begin after a good night^s rest had been obtained by a dose of trional. The uvula is frequently involved in VincenFs angina. Thus of the thirty-two cases recently reported by myself in this Jouenal, it was affected in twenty, but the damage was never considerable, and complete regeneration of tissue always occurred. I can find only five other cases in literature in which the uvula was completely destroyed (Auche, Baron, Bruce, Niedner, Achard and Flandin). To these must be added a fatal case in a boy, aged lOJ years, related by Dr. Goffe at the discussion following the exhibition of this child. Before death the whole of the uvula and most of the soft palate had sloughed away, and at the necropsy the posterior pharyngeal walls, part of the tonsils, pillars of the fauces and larynx were found to be involved. In Auche and NiedneFs cases, as in my own, diphtheria bacilli