Precocious paralysis of the palate in diphtheria / by J.D. Rolleston.

  • Rolleston, John Davy, 1873-1946.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Precocious paralysis of the palate in diphtheria / by J.D. Rolleston. 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.

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    The relation of the frequency of precocious palatal paralysis to the character of the initial faucial attack is shown in the following table :— Table V. Showing relation of Precocious Palatal Paralysis to Character of Initial Attack. Very severe faucial Severe faucial Moderately severe faucial Moderate faucial . 29 cases = 29-2% 17 cases = 8-8% 1 case = 1‘1% 1 case = 0*3% From this it will be seen that though more frequently found in the severest cases, precocious palatal palsy occasionally follows an angina of only moderate intensity. Berthelot’s experience was similar. Four of his twelve cases were of moderate intensity, the remaining eight were severe forms. Petit and Deguy, on the other hand, regard precocious palatal palsy as the exclusive appanage of severe forms. The severity of the attacks might be attributed in the majority of cases to neglect of antitoxin treat- ment during the first few days of the disease ; in a smaller number of cases the disease was precociously malignant. The truth of this statement is borne out by the following table, which shows that the majority of cases were admitted in the second half of the first week. Only one of the fifty cases had received antitoxin before admission to hospital. This was a child who, after having had small doses of antitoxin at home on the fifth and sixth days of disease, was admitted to hospital on the seventh day and died on the eleventh day. Tabic V. Shoiving the Days of Disease on Admission to Hospital. 1st day 2nd „ 4th 5 th 6 th 7 th 8 th 11th >> 0 cases 7 „ 10 10 14 5 1 2 1