Submaxillary cellulitis : syn. cynanche cellularis of Gregory, angina externa, angina Ludovici, cynanche sublingualis rheumatico-typhoides / by W. Morrant Baker.

  • William Morrant Baker
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Submaxillary cellulitis : syn. cynanche cellularis of Gregory, angina externa, angina Ludovici, cynanche sublingualis rheumatico-typhoides / by W. Morrant Baker. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    3/18
    rS3pri.itod from St. Bartholomew’s Hospital Reports, Vol. XXVI.] EXTERNA; ANGINA LTOWICI; CYNANCHE LINGUALIS RHEUMATICO-TYPHOIDES. BY W. MGER ANT BAKER. Cases of so-called submaxillary cellulitis, although not abso- lutely very rare, are not common ; and occurring, as they do, in an apparently capricious manner,—several within a short time per- haps, and then not again for a long period, are apt to be less well known and recognised than, from their importance, they deserve. The following case was admitted into St. Bartholomew’s Hospital, under my care, in the present year. I extract the following brief account from the notes. Stephen W., aged 58, admitted into Darker Ward, June 10, 1890, dates his present illness from the extraction of a tooth, a month ago. His neck became red and swollen, however, only eight days ago, and has gradually got worse. There is considerable swelling,—extending from the chin to the upper portion of the sternum, and outwards over the sterno- mastoid muscles and clavicles. It is red, tense and brawny ; tender to pressure ; and there is a crackling sensation on touching the skin, as if from the presence of air in the subcutaneous tissue. Fluctuation can be detected^.the middle line of the neck. The patient has some difficulty in sfi&king. Urine acid : sp. gr. 1029. A slight cloud of albumen. Tem- perature 101.80. An incision was made by Mr. Lucas, the house-surgeon, in the middle line of the neck, over the cricoid cartilage, through the skin and subcutaneous tissue. Bus and air, of a most offensive odour, escaped, but not in large quantity. Boracic fomentation applied.