Diseases of children : a short introduction to their study / by James Frederic Goodhart.

  • Goodhart, James Frederic, Sir, 1845-1916.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of children : a short introduction to their study / by James Frederic Goodhart. Source: Wellcome Collection.

    232/792 (page 216)
    in onset, the pyrexia in like manner quickly attains a persistent altitude, the fauces are more generally red- dened, and the strawberry tongue is present. The cultivation of the membranous exudation that is sometimes present produces no characteristic bacilli. Albuminuria is a sequela, not an early symptom, and it is associated with luematuria and dropsy. Lastly, endocarditis and rheumatism may follow scar- latina. Tonsillitis.—The onset is sudden; the swelling gi’eat and cedematous; often unilateral, without glan- dular enlargement; not a very common disease in childhood, except in mild form, as part of the history of a chronic tonsillitis. Treatment.—Our present knowledge, which is derived in part from experiment, in part from the experience of the records of cases, teaches, as has been already said, that diphtheria is due to a germ which effects a lodgment usually in the fauces or re- spiratory passages, undergoes a process of incubation, generates a poison there which then becomes gene- ralised. This is the central point from which much of our treatment must be directed. Diphtheria is in great part a local disease, and is to be treated in great part by local measures. Unfortunately, the poison in some cases becomes very rapidly diffused, and the child then suffers from a bad form of blood-poisoning, which deprives the local affection of its primary importance ; and it must also be added, that hitherto local treat- ment has not been very successful. Thus, internal treatment being by no means unimportant, has, per- haps, in its more easy applicability, hindered the thorough perseverance in local measures. But neither is the local treatment of ringworm very successful— certainly not if anything short of the most thorough measures be adopted; nor is the local treatment of cancer very successful, and yet local measures are not on that account discarded. The whole tendency of modern teaching is to make our local treatment of