Diseases of infancy and childhood (1914) (14585343520)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

d. No systemic effect is noticeable after these injections.By using the neosalvarsan we avoid the complicated preparation which wasnecessary in the use of salvarsan. An illustration of the technique of injecting into the median basilicvein may be seen on page 537. A series of cases of severe scarlet fever^ in which profound toxaemiaexisted were injected with neosalvarsan. In a case of severe noma compli-cating scarlet fever an injection of 0.2 gramme of neosalvarsan was givenwith excellent results. There is no specific drug or serum in use today, so that too muchshould not be expected from neosalvarsan. ^Reported at the International Medical Congress, London, 1913. Section onDiseases of Children. CHAPTEE X. VARICELLA (CHICKEN-POX). Vakicella is a specific infectious disease of an acute character. Theeruption consists of vesicles, which appear in successive crops. The attacklasts in all from four to fourteen days. After one attack the child is usuallyimmune during the rest of its life.

Text Appearing After Image:

Fig. 205.—Pustules surrounded by an inflammatory areola. From theservice of the Willard Parker Hospital. (Courtesy of Dr. HowardFox.) Etiology.—This disease is seen only in young children; the older thechild, the less liable it is to have chicken-pox. Nurslings are frequentlyafflicted. Hutchinson states that in his experience adults are almost absolutelyimmune from this disease. In my own practice the majority of cases seenby me have been in children between the second and tenth yeai-s of age. Pathology.—The pathological lesions are contined wholly to the epi-dermis. The vesicles contain granular fibrin, a nuxlerato cellular exudate,cellular debris, and serum; this differs markedly from the exudate in variola,which is usually yei^ rich in cells, especially plasma colls. The pock invaricella is shallow, rarely involving iho papilhv oi the cutis, and as its con- (^(>o;0 634 J^HE INFECTIOUS DISEASES. tents are absorbed, the superficial covering is cast off in the form of abrowni

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1914

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