Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh.

  • Marsh, Howard, 1839-1915.
Date:
1903
Catalogue details

Licence: In copyright

Credit: Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    17/52 (page 13)
    disease met with in association with typhoid fever— 1. Eheumatic typhoid arthritis. 2. Typhoid arthritis proper. 3. A form of septic arthritis. Bheumatic Typlwicl Arthritis.—Under this head it has been customary to place cases in which at the commencement of the ilhiess—sometimes as the earhest symptom—the patient complains of severe pain in the knees, elbows, or other joints, which are the seat of varying degrees of swelling. Usually the affection lasts for a few days, and then disappears without leaving any ill effects. In other instances effusion increases in quantity and sup- puration occurs. As a good example of this early form Dr. Percy Kidd has given me notes of the following case : A girl, aged seventeen, was admitted into the London Hospital, December 9, 1899, having com- plained for two or three days of pain in her left knee, which was swollen. Her case was at first regarded as one of acute rheumatic arthritis. The knee, however, became worse, and on the 14th was explored, as suppuration was suspected. No pus was found. Two days later the temperature w^as 105, and diarrhoea, faint rose spots, and Widal's reaction disclosed typhoid fever. Death occurred sixteen days later from intestinal hccmorrhage, and