Malignant pustule ; Acute farcy or glanders in the human subject ; Cases of muscular anaesthesia? / by Alfred Carpenter.
- Carpenter, Alfred, 1825-
- Date:
- [1874]
Licence: Public Domain Mark
Credit: Malignant pustule ; Acute farcy or glanders in the human subject ; Cases of muscular anaesthesia? / by Alfred Carpenter. 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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![pi cion rnised tliat it might be from the effects of the poison of Glanders; and on inquiry it was ascertained that the liorse he had bouglit was actually glandered. This knowledge was obtained from the patient’s friends, and not from the man himself, who had no ideas of this nature. The treatment was at first directed to abate the febrile symptoms ; a ]30ultice was applied to the lip, warm fomentations to the arm and leg, and some simple saline medicine given frequently. On visiting him on the following day, the swelling, redness, and pain were found to be less severe. The slough had separated, and left a deep, unhealthy-looking ulcer with excavated edges; the nose and salivary glands were minutely examined, and were found free from disease; there were no spots or pustules upon any part of the body, except that mentioned on the cheek. On September 6th the redness and swelling had still fur- ther decreased, as well as the tenderness. The appearance of the elbow was much altered. The swelling had become quite prominent, and more circumscribed, princijDally seated over the supinator muscles, below the bend of the elbow; it was much softer. He complained of severe aching pains in all his limbs, and still believed that he was suffering from rheumatic fever. The pulse was soft, 90; tongue loaded with a white fur, scarcely any appetite and some little thirst; no rigors. The excavated ulcer on the lip seemed a little larger; but the swelling about the forehead and right eye, as well as the eiythematous redness, were nearly gone. The discharge from the sore was profuse, dirty, and very offensive ; the front of the leg very painful, but less swollen, and not so circumscribed as that of the arm. On September 8th the swelling on the forearm presented the characters of a circumscribed abscess. The redness was gone, except in the centre of the swelling, where pus seemed to be presenting. A lancet was introduced, and about six ounces and a half of ill-formed offensive pus evacuated. The pain had been very acute, but was at once relieved by the operation. The leg continued in the same state. The ulcer in the lip was not extending, but the edges continued excavated, the-discharge sanious and offensive. The swelling and redness were quite gone. The aching pains in the limbs were severe, and pre- vented his sleeping at night. The tongue had a yellowish moist coat; the appetite was a little better, and there was less thirst; pulse 90, rather weak. But altogether he expressed](https://iiif.wellcomecollection.org/image/b22435463_0022.jp2/full/800%2C/0/default.jpg)
