Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Gottstein, Jacob, 1832-1895.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    LARYNGEAL DISEASE IN SMALLPOX. Etiology.—The larynx-is very frequently affected in variola, probably. indeed, in most cases, though sometimes but slightly. Ruble, out of 54 autopsi a ( smallpox patients, found the larynx and respirat tract always in a pathological condition : Eppinger also states that during the last epidemic in Prague, even although pustules were not constantly present, still a morbid condition of the laryngeal mu membrane could always be demonstrated. During the stage of incuba- tion there are no laryngeal symptoms, but from the third to the sixth day after the appearance of the eruption, the larynx seems usually to be affected. Pathology and Symptoms.—During the course of smallpox there may occur in the larynx i (1) simple catarrh ; (2) catarrh with pustule- ; (3) interstitial bleeding : <4) croupous inflammation : (5) perichondritis (6) muscular para] Jn mild cases the mucous membrane of the larynx is uniformly and intensely injected, moderately swollen, and covered with a thin lay secretion ; at individual spots, especially on the epiglottis, aryteo and cords, there are whitish, sharply-defined points of discolouration, which, according to Eppinger. represent necrosed epithelium. In other - there are seen in addition to intent catarrh, very small varying in size from a pin point to a hemp seed, and slightly rais which much resemble the previously dec ints, ait which od microscopic examination are found to be due t<> cellular infiltration of the epithelium. These two conditions cannot be differentiated I of the lar _ e, and must be looked upon as due t<> severe catarrh. The opinions of authors differ as to the occurrence of pustules in the larynx. E. Wags that out of 170 cases he found pustules in the larynx 144 times, liable, on the other hand, in his ~>4 auto] - s only found here and there pustule-like ele'. nd other authors scurrenoe occasionally on the epiglottis, aryten rds, while in the trachea they are often found, and may even be continent. Eppinger altogether disputes the occurrence of true vari pustules in the larynx, but admits that • on the