Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling.

  • Stirling, Edward Charles, 1848-1919.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling. 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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    from the normal type of scarlet fever. Trelat* also ex- presses the same opinion; and, as will be shortly seen, an interesting parallel in this respect appears in the disease when it occurs during the puerperal state. With regard to other variations, there is nothing very definite to be gleaned from the limited number of cases at command. Trelat merely states that one of his cases was marked by peculiarities in the febrile cycle and man- ner of desquamation; and Sir James Paget and others have all remarked upon the various irregularities that have been seen to occur. The Age of the Patients affected. The fact that I have been able to collect as many cases from one children’s hospital as from all other sources together points very distinctly to the susceptibility of young subjects to scarlet fever under these circumstances, as well as in all others ; and I think it is permissible to see in this an additional argument in support of the theory, that we have to deal here with true scarlet fever. Mortality. Among the sixty-three cases given in the table there were seven deaths, or about eleven per cent, which seems a rate about the same as we might expect to find in the same number of ordinary cases uncomplicated with wounds; though, from the fact that the ordinary dangers of scarlet fever have, in the one case, the risks attaching to the presence of a wound, we might, not unnaturally, have expected a higher rate of mortality. Condition of the Wound. As regards the behaviour of the wound during the fever, we should, I think, expect to find that the healing of wounds during any acute febrile attack would be mate- rially interfered with; but, as has been already stated, this does not appear to be uniformly the case. In a certain number of cases, especially those of hare-lip, it is stated