History.?Without the previous the

occurrence

of chills

or

rigor

seized with pain in the throat on the and during the whole of that day lie was very feverish with hot burning skin and flushed cheeks. He passed a very restless night and on the morning of the 26th was taken to the Chandney where he had his throat

patient was suddenly morning of the 25th,

cauterized.

On the

Hospital morning of the

the 29th

brought

to

27tii the eruption made its appearance, first observed on the inside of the thighs, thence spreading to the trunk and extremities. On the 28th he passed a restless and delirious night, and on the morning of was

Patient

bora in

this hospital. Calcutta; has always

been a delicate boy had measles 3 years ago; has never had scarlet fever nor den" fever" (malarious). gue ; but has repeatedly suffered from was

State on admission.?Patient in a state of high fever; skin, hot and drv, 104 8 ; cheeks flushed; pulse 120, small and weak ; lips parched; tongue dry, red and irritable, with patches of

papilla; prominent; throat much swollen and greatly enlarged, almost in contact, and cohered with exudation of an ashy grey colour; whita diphtheritic patches occupying the back of the pharynx. Skin the seat of a scarlet eruption?on the arms and legs creamy

fur;

congested;

tonsils

uniform efflorescence, while on the abdomen have a tendency to collect in little crescennot unlike the appearance presented by the rash of

in the form of the minute tic

patches

a

papules

measles.

Everywhere abdomen it the

the

on pressure and on the than elsewhere. Witli flush in the cheeks, the face is pale and free and coryza indicated by catarrh from eyes

eruption disappears a more dusky hue

assumes

exception of a rash; slight

from

nose.

He

of

complains

urgent

thirst and

of fluid

partakes freely

nourishment, but refuses solid food from his inability to swallow. Urine scanty and high coloured, not albuminous; bowels con-

stipated. Treatment?

Liquor,

ammon.

acetatia

Potass., oliloratis

Aquas.

ad. m.

...

Sig.?^i.

Acid, hydrochlor, dil.

...

...

giii.

...

...

gr.

...

...

every 4th hour.

Condy's fluid Aqua?, ad. m. fiat garg. Sig.?To

...

...

...

...

...

be used

xxxvi.

gxii.

3ii. 5i. gxii. frequently. ...

...

...

Poultices to throat.

Progress?December 30

Notes of Three Cases of Scarlatina Treated in the Wards of the Second Resident Surgeon, Presidency General Hospital.

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