The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates.

H. A. Hare

Date:: [1909], [©1909]

Credit: The medical complications, accidents and sequels of typhoid fever and other exanthemata / by Hobart Amory Hare ... and E.J.G. Beardsley ... with a special chapter on the mental disturbances following typhoid fever, by F.X. Dercum ... with 26 illustrations and 2 plates. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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$marked in yirls than in hoys, 'i'he niortahty was 11.1 per cent., and the eoniphcations were meninoitis, snppm'ation, par()ti(htis, peritonitis from ])erforatioii, purulent j)lenrisy, aj)hasia histino- as lonij^ as three weeks, dihitation of the stoniacli (hu'inn- coin aU'scenee, and orchitis. \Vurtz' records the case of a i;irl of cinlil years, who (k'Vi'h)ped a swelling over the sternum (hn-ini;' tlie second week of typlioid fever. Puncture drew pus and an incision gave exit to a neerosed pieee of the sternum, the entire body of the hone heinj^; involved in tile necrotic process. Typlioid hacilh' were demonstrated iiiicro- seopieally in the pus. Deatli oceurred in the fifth week. At the autopsy an abseess lined ])y pyogenie memlwane was found l)etween the sternum and pleura, extending upward to the maiiubiium. There was bronchopneumonia in both huigs, and in the ileum there were a few typhoid ulcers, tiie rest of the intestine showing healino-; the rioht arvtenoitl cartilage showed a chondritis. I In the Maidstone epidemic of 1S97 and 1S9S, 22 per cent, of the cases admitted to the hospital were in children under ten years of age, and 52 per cent, were under fifteen years. We think it is fair to conclude therefore that Taupin's assertion, in 1839, that typhoid fever is not a rare disease in children is correct. At the present time the diagnosis of typhoid fever in children must rest largely upon the chance development of the character- istic rash and enlarged spleen, and more than all upon the Widal test, or positive blood culture, for the moderation in all the symp- toms so characteristic of the affection in childhood, and the fact that a swollen spleen and liver and a coated tongue with fever are so commonly met with in various children's ailments, make an absolute diagnosis without these tests in many instances almost impossible. The above paragraphs were written nearly ten years ago, and since that time careful study and a review of the literature enforces upon us the truth of the statement that typhoid fever in children is by no means as rare as has been supposed. ■ Wurtz. Quoted in the American Journal of Obstetrics for March, 1S99, from the Jahrbuch f. Kinderheilkunde, vol. xliv, No. 1. We have not been able to see tlie orifiinal article. - Poole. Guy's Hospital Reports. 1898. Wrongly labelled on cover 1890.$