A practical treatise on smallpox. Illustrated by colored photographs from life / by George Fox ... With the collaboration of S.D. Hubbard, S. Pollitzer and J.H. Huddleston.

  • George Henry Fox
Date:
1903
Catalogue details

Licence: In copyright

Credit: A practical treatise on smallpox. Illustrated by colored photographs from life / by George Fox ... With the collaboration of S.D. Hubbard, S. Pollitzer and J.H. Huddleston. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

    20/80 (page 8)
    there was no evidence of vesication. On December 9, the third day of the eruption, the latter pre- sented no particuhir change in its appearance or progress. It still remained papular. Intense depres- sion and delirium were present. At 3 p.m., December 9, the patient was removed to North Brothers Island. On December 10, the fourth day of the eruption, a few vesicles appeared for the first time. These formed slowly about the lower part of the abdomen and thighs. At these sites were four or five tyjiical umbilications. On December 11, the fifth day of the eruption, many more umbilications were found. The j^atient became rapidly worse, and died on the f )llo\ving day, December 12. Case II.—Mr. F. S., aged twenty-four years. Eemoved to Recejition Hospital on suspicion of typhus fever. On December 8 the ap])earance of this case was similar to Case I., inasmuch as the fixce was swollen and presented an erysipelatous apj^earance, although the color was more of a dusky hue. Large erythematous patches, suggestive of scarlet fever, were found covering different parts of the body. The same condition was present in this case as was noticed in Case I.,—i.e., the color of the patches was darker than in scarlet fever, and when the finger was drawn over the patch it did not leave a white line. No patches were found on the arms; but at these sites were dark, almost black, papules, which slowly became vesicular and urabilicated. The eruption was confluent on the upper part of the thighs and the face, and the patient died on December 8. Case III.—Mr. P. B., aged twenty-six years. Eemoved to Eeception Hospital, December 16, 1893, on susj^icion of typhus fever. On December 17 he presented the following appearance: The face and the entire trunk and upper j^ortions of the thighs and shoulders presented an eruption which could easily have been mistaken for scarlet fever. The eruption was dotted with dark or black papules; some vesicles were noticed on the trunk. The eruption on the thighs was shotty and umbilicated and quite characteristic of variola. The face presented the same appearance as in Cases I. and II. On the legs and forearms, where the general redness was not present, the eruption had hardly gone beyond the macular stage, but Avas very dark,—almost black. As in the other cases, the finger drawn across left no white mark. It was stated that epistaxis had occurred. The patient became rapidly worse, without much change in the eruption, and died on December 17. Case IY.—Mr. L. E., lawyer, aged forty-three years. Eemoved from boarding-house, December 2-1, 1893, to Eeception IIo.spital. Seen at home previous to removal, December 24. Patient felt badly on December 17. On December 20 was quite ill; pains in different parts of the body; nausea and vomiting. This condition continued until December 23, when an eruption appeared. Diagnosis, scarlet fever. On December 24, with the exception of the legs and forearms, the entire body and face was involved in a general eruption resembling scarlet fever. However, as in the preceding cases, it was of a darker hue than that found in scarlet fever, and pressure upon the skin made no impression so far as changing its color. Over the legs and forearm was distributed a profuse papular eruption, very dark in color. On other parts of the body were scattered some dark or almost black papules, with a few vesicles; typical umbilication was also present in some. A few small vesicles were noticed on the nose. These had the appearance of inflamed follicles, and were not as dark colored as the rest. The conjunctivae were very much congested, and the membrane of the mouth was so much swollen that it was impossible to examine the throat. Hemateraesis was present, also great prostration from the outset. The patient died on December 25.