Diphtheria : its nature and treatment with an account of the history of its prevalence in various countries / by Daniel D. Slade.

  • Slade, D. D. (Daniel Dennison), 1823-1896.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Diphtheria : its nature and treatment with an account of the history of its prevalence in various countries / by Daniel D. Slade. Source: Wellcome Collection.

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    34: acljmamic symptoms become manifest, the pulse becomes very frequent, the cervical glands greatly enlarge, and frequently forty-eight hours after the attack, the patient dies, without the larynx having hem sufficiently afftcted to suggest the idea of crowp. It seems as though a poison had been introduced into the sj'-stem, by which the latter had been intimately and rapidly modified. So also in the account given by M. Isambert' of the epidemic in Paris in 1866, we find, under the head of malignant diphtheritic angina, the following observa- tions :— We retain the old name of malignant angina to designate that specific form in which the patient suc- cumbs to a profound adjmamia, to a general intoxica- tion, and in nowise to the occlusion of the larynx. For in cases of this description tracheotomy not only does not save, but it does not even temporarily relieve the patient. This form of angina seems to have escaped the notice of M. Bretonneau, and as we cannot suppose that a man of his powers of observation could overlook a type of the disease so well marked, we must admit that it did not present itself in those epidemics, in the midst of which the eminent physician wrote his Traite de la Di])htherite. This form, then, appears to be a new one, although without doubt it is to this that many of the descriptions of the malignant or gangrenous anginas of the early epidemics apply. ' Arcli. Gen. de Medeciiie, 1S57.