Proceedings of the Philadelphia County Medical Society - Vol.8 (Session of 1887).

  • Philadelphia County Medical Society
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Proceedings of the Philadelphia County Medical Society - Vol.8 (Session of 1887). Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    A SERIES OF THREE EPITHELIAL OR PSEUDO- MEMBRANOUS CASTS OF THE TONSIL AND PALATINE FOLDS FROM A CASE OF DIPHTHERIA. By J. SOLIS-COHEN, M.D. [Presented January 12, 1887.] The patient is an adult, and has exhibited no symptoms of a consti- tutional infection. The local disease was limited to the tonsils and palate: one tonsil became parenchymatously enlarged and underwent suppuration. The abscess was opened twice. At present there is an additional abscess in the upper portion of the palate. There has been no complication in the case except from difficulty in deglutition, so great that for forty-eight hours the patient had to be nourished mainly by the rectum. Two days ago there was brought to me a thin sheet of false membrane, which was an accurate mould of the tonsil and palatine fold. Yesterday, a similar mass of desquamation, having much the same shape, was brought; and this morning a third mould had been thrown off. The appearance of the second cast closely resembles a cast of the interior of the larynx and trachea, and could readily have been mistaken therefor had there been any laryngeal complication. Manipulation, however, demonstrates that it has sheathed the tonsil and one of the palatine folds. The point to which particular attention is called, is the physical resemblance of these patches to the desquamated epidermis in scarlatina.