of both ears are reddened, and a few vesicles exist on them. The lad has been ill for three days, and attributes the blebs to mosquito bites. 21st January.?Blebs gone down ; redness and swelling have

disappeai'ed.

22nd.?On the face, numerous papules have formed; face swollen. 4th February.?The blebs dried up in a few days, and the raised cuticle dried and desquamated: two of them ulcerated, and the healing of the sores detained the boy in hospital. He leaves to-day in good health." This disease was called _4,Pein" acutus." Such are the vicissitudes in the nomenclature

phigus

of diseases.

PRESIDENCY GENERAL HOSPITAL. A CURIOUS FORM OF ERUPTIVE FEVER IN CALCUTTA. Assistant Surgeon, Bengal Medical Service. R. F.

By

Lyons, In an old, worm-eaten and ponderous Case Book of the General Hospital, of the year 1823, is an account of a curious eruptive fever, which is thus described in the words of the

narrator:? " James Anderson, aged 29, H. C.'s European Regiment, admitted 2nd May, 1823; complains of pain about the shoulder and round by the chest; tongue clean; pulse natural; and seems merely to have caught cold. 3rd.?Coniplainsnow of headache; pulse good. 4th.?An eruption has made its appearance on the arms, neck and face, of a sort of papula), rather resembling urticaria, and about the size of an 8 anna piece, red apparently from scratching them : they are very itchy ; headache relieved. 5th.?One or two additional wheals have broke out, but most of the others are now disappearing; complains of a bitter taste in the mouth. 6th.?The eruption going off; much distresssd with cough in

the night. 7th.?No cough since taking the draught; complains of itching, but there is no fresh crop of eruptions." The subsequent record of the case notes that the cough continued to be a little

and that the patient complained of trifling pains chest, knees and calves of the legs, off and on. He was discharged from hospital on the 31st May, 1823. This " case was called Urticaria Febrilis," and is initialed " J. A.," which Mr. L'Estrange, the senior steward of the hospital, who is a contemporary of Twining and Raleigh, informs me stands for John Anderson, formerly an Assistant Surgeon of the General Hospital, who retired from the medical service, a few years ago, when Deputy Inspector-General of Hospitals, Presidency Circle. It is plain from the language of the narrator that this was a rare and uncommon form of disease in Calcutta; and that he invented the name, which is an appropriate one. A disease is the same in all ages, but it is not always looked upon in the same light, although its essential characters are immutable, like those of every other natural phenomenon. A disease, the same as the one whicli was admitted into the General Hospital in 1823, was admitted in the year 1871, of which the following is a verbatim account: " Benjamin Potts, aged 17, admitted on the 19th January, 1871; a healthy lad. Both feet are much swollen about the ankles; skin reddened as if erysipelatous, and raised into blebs of varying size, from a vesicle of the size of a large pea to those of the size of a marble. On the right foot there are 15 of these ; a very large one on the sole near the ankle, the largest on the back of the foot, but most on the back of the ankle. On the left are 14; a few on the foot, and the others on the lower part of the leg about the ankle; a large one on the back of the left foot, near the toes, has been broken, so that tho skin is there The pain was of a " sharp aching" character. raw and bare. Besides the above, there are red spots like urticaria, and a few small blebs on the forearms, and also on the loins. The lobes~

troublesome,

in the back,

?

A Curious Form of Eruptive Fever in Calcutta.

A Curious Form of Eruptive Fever in Calcutta. - PDF Download Free
2MB Sizes 2 Downloads 13 Views