Some of the sequelae of acute infectious diseases in children / by James Carmichael.

Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Some of the sequelae of acute infectious diseases in children / by James Carmichael. Source: Wellcome Collection.

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

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    a glossy or varnished appearance. The stools are generally costive, and contain a quantity of mucus. Alternating with this condition you have recurrent attacks of vomiting and diarrhoea, after which the child is often much relieved for a time, only to relapse after a certain period into its former condition. The disease is rarely seen in infants, but usually in children above tlie age of four. The treatment so carefully laid down by I)r Smith I have found generally successful. It is chiefly dietetic, and must be conducted on the principle of abstinence from saccharine and starchy kinds of food, as well as most kinds of vegetables, restricting the child chiefly to milk and bread, eggs raw or lightly cooked, meat soups, and meat. This conditition is also asso- ciated with a harsh and dry state of the skin, and gradual and progressive emaciation characterizes the severe forms of the disease. Although the appetite is often good, sometimes voracious, the food is not properly digested, and causes flatulence, colic, and restlessness during sleep. Many of the well-marked and severe cases of tins affection which have come under my observa- tion have been associated with or followed by lymphatic glandular hyperplasia and caseation ending in general tuberculosis. Cutaneous Eruptions are very frequent as a remote result of acute infectious diseases, and more particularly of measles. In hospital and dispensary practice the most frequent are the chronic pustular affections, ecthyma and impetigo, the former affecting the lower half of the trunk and legs, more rarely also the arms, the latter attacking the head. Both forms generally yield in due course to careful dietetic and tonic treatment, preceded by administration of stomachic medicine if there be any digestive derangement. I regret that the limits of a short paper have prevented me from entering with more minuteness into a description of these sequelae. My object has rather been, while describing leading features, to point out the probability of their intimate connexion with the diseases which have preceded them, and the necessity of the very careful management and treatment of children during convalescence and for some time after having suffered from any of these more common acute infectious maladies. EDINBURGH : PRINTED BY OLIVER AND BOYD.
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