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496 in 1873. The bacillus of Eberth, the existing cause is about one-third the dia-n?.eter of a red blood corpuscle, rounded at one or both ends, with a round shining body in the center either a sphere or a degenerative alteration in the protoplasm. They have been known to live in milk thirty-five days and in butter twenty-one days. They have been known to live in the human body fifteen months after convalescence. They ?re destroyed by exposure to twenty minutes niosit heat or to sunlight. Frost and ice fail to kill them. It is not contagious in the ordinary use of the term, and there are no exhalations from the lungs or skin which impart the disease. It is infectous, the poison being usually found in the stools. A dried discharge from the patient floats upon the air and breathed into the lungs of another may convey the disease. Period of invasion IS about two weeks. Complications are frequent, the most serious being perforation of the intes-tme, in 2 to 3 per cent., and is a common cause of death. Other complications, venous thrombasis, falling of the hair, hepes libiallis, pericarditis, endocarditis, myocarditis, valvular trouble, jenemia, rupture of the splene, necrosis of the nose cartilage, odeme of the glo-tis perichondritis, bronchitis, lobar pneumonia, pulmonary odema, pleurisy, acute milary tuberculosis. Prognosis is difficult. It is less fatal in children and increases in fatality after the forty-fifth year. Unfavorable in intemperate, gouty, venereral subjects, and pregnant women. Colt in discussing the subject said that we would find more lesions of the throat and laryn if they were looked for, as post mortem examinations showed them present in 17 per cent., and lesions of cricoid cartilage found in 80 l>er cent. "Epinger considers ulcers of ABSTRACTS. the mucus membrane of the throat and larynx analogous to lesions in the intestines, and that whenever there is adenoid tissue, infiltration takes place ar.d it breaks down. These typhoid ulcers are very characteristic in location, being found on the pillars of the fauces and on the laryngeal border of the epiglottis ; in the aryepiglotic folds; seldom, yet occasionally, in the subglottis; very re rely if ever on the vocal chords. A condition has been described as diphtheritic typhoid in which a diagnosis of diphtheria and typhoid has been made. Il is considered to be due to deep ul-, ceration with membrane formed over them. Another condition worthy of note, where there is no particular lesion is dry mouth, the tongue being dry and liard. The temperance cannot be gotten in the mouth, or appears subnormal, while quite apparent if taken per rectum. Dr. Potter says viable germs have been found in abscess about the gall bladder fourteen and one-half years after recovery from the fever, and in bone lesions as late as six years. Perforations are the cause of death in 6 per cent, of the mortality. Usual symptoms of perforation are shack, sudden pain, vomiting and occasionaly fall in temperature. The death rate^of perforation per cent. Operation should be advised when diagnosis is reasonably certain and condition of patient will justify it. As a rule the best time for operation is during second twelve hours. Mortality under operation is reduced to So per cent. Hepatic abscess as a complication is rare, and surgical intervention gives but little prospect of recovery. Abscess of gall bladder is more frequent, and operations should be considered if there is distension and if ruptured an operation should be made at once. In threatened gangrene tone up
Object Description
Rating | |
Fixed Title * | NCHH-20: The Carolina Medical Journal [1900-1908] |
Document Title | The Carolina Medical Journal [1900-1908] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Carolina Medical Journal, 1900-1908. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1904 |
Identifier | NCHH-20-050 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 50 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-20/nchh-20-050.pdf |
Document Sort | all; group-e; nchh-20 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-20-050 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-20 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1786885 |
Revision History | keep |
Description
Fixed Title * | Page 496 |
Document Title | The Carolina Medical Journal [1900-1908] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Carolina Medical Journal, 1900-1908. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1904 |
Identifier | NCHH-20-050-0606 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | carolinamedicalj501904char_0606.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 50 |
Issue Number | 7 |
Page Number | 496 |
Health Discipline | Medicine |
Full Text | 496 in 1873. The bacillus of Eberth, the existing cause is about one-third the dia-n?.eter of a red blood corpuscle, rounded at one or both ends, with a round shining body in the center either a sphere or a degenerative alteration in the protoplasm. They have been known to live in milk thirty-five days and in butter twenty-one days. They have been known to live in the human body fifteen months after convalescence. They ?re destroyed by exposure to twenty minutes niosit heat or to sunlight. Frost and ice fail to kill them. It is not contagious in the ordinary use of the term, and there are no exhalations from the lungs or skin which impart the disease. It is infectous, the poison being usually found in the stools. A dried discharge from the patient floats upon the air and breathed into the lungs of another may convey the disease. Period of invasion IS about two weeks. Complications are frequent, the most serious being perforation of the intes-tme, in 2 to 3 per cent., and is a common cause of death. Other complications, venous thrombasis, falling of the hair, hepes libiallis, pericarditis, endocarditis, myocarditis, valvular trouble, jenemia, rupture of the splene, necrosis of the nose cartilage, odeme of the glo-tis perichondritis, bronchitis, lobar pneumonia, pulmonary odema, pleurisy, acute milary tuberculosis. Prognosis is difficult. It is less fatal in children and increases in fatality after the forty-fifth year. Unfavorable in intemperate, gouty, venereral subjects, and pregnant women. Colt in discussing the subject said that we would find more lesions of the throat and laryn if they were looked for, as post mortem examinations showed them present in 17 per cent., and lesions of cricoid cartilage found in 80 l>er cent. "Epinger considers ulcers of ABSTRACTS. the mucus membrane of the throat and larynx analogous to lesions in the intestines, and that whenever there is adenoid tissue, infiltration takes place ar.d it breaks down. These typhoid ulcers are very characteristic in location, being found on the pillars of the fauces and on the laryngeal border of the epiglottis ; in the aryepiglotic folds; seldom, yet occasionally, in the subglottis; very re rely if ever on the vocal chords. A condition has been described as diphtheritic typhoid in which a diagnosis of diphtheria and typhoid has been made. Il is considered to be due to deep ul-, ceration with membrane formed over them. Another condition worthy of note, where there is no particular lesion is dry mouth, the tongue being dry and liard. The temperance cannot be gotten in the mouth, or appears subnormal, while quite apparent if taken per rectum. Dr. Potter says viable germs have been found in abscess about the gall bladder fourteen and one-half years after recovery from the fever, and in bone lesions as late as six years. Perforations are the cause of death in 6 per cent, of the mortality. Usual symptoms of perforation are shack, sudden pain, vomiting and occasionaly fall in temperature. The death rate^of perforation per cent. Operation should be advised when diagnosis is reasonably certain and condition of patient will justify it. As a rule the best time for operation is during second twelve hours. Mortality under operation is reduced to So per cent. Hepatic abscess as a complication is rare, and surgical intervention gives but little prospect of recovery. Abscess of gall bladder is more frequent, and operations should be considered if there is distension and if ruptured an operation should be made at once. In threatened gangrene tone up |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-20/nchh-20-050.pdf |
Document Sort | all; group-e; nchh-20 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-20-050 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-20 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1786885 |
Revision History | keep |
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