A practical text-book on infectious diseases / by R.W. Marsden ; with a chapter on puerperal septic disease by A. Knyvett Gordon.

Date:
1908
Catalogue details

Licence: In copyright

Credit: A practical text-book on infectious diseases / by R.W. Marsden ; with a chapter on puerperal septic disease by A. Knyvett Gordon. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    much thickened, and so interfere with the vascular supply of the cornea as to lead to its necrosis wnth subsequent panophthalmitis. In the mouth an apththous or ulcerative stomatitis may develop, and convalescence may be inter- rupted by the occurrence of noma, which is first noted as a dark necrotic discoloration usually on the mucous membrane lining the cheek. In this condition a localised thickening in the tissue of the cheeks arises very quickly, the skin becomes tense and wax-like, and an external necrotic patch corresponding to the internal slough is rapidly formed. The disease proceeds with such rapidity, producing marked local swelling, oedema, and loss of tissue from gan- grenous changes, that the most energetic treat- ment is required to save the life of the patient. It should also be mentioned that this dangerous complication may arise in connection with the genital organs, more particularly the vulva. The catarrhal inflammation of the throat frequently spreads along the Eustachian tube producing otitis media. Deafness from tem- porary blocking of the tube is not uncommon, it may appear early and pass away without any further evidence of disease. Purulent otitis media may arise, however, as a later complication with perforation of the tympanic membrane and the further risks mentioned under Scarlet Fever, though these occurrences are much rarer than after the latter disease. Possibly this is due to the fact men- tioned by Dr. Knyvett Gordon that the otitis of Measles is a catarrhal affection, that of Scarlet Fever an osteitis. The most frequent complications of Measles