Medical ArticlesPunctures Case Xiii
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Punctures Case X
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Treatment Of Scarlatina Simplex Or Simple Scarlet-fever
Category: TREATMENT OF SCARLET-FEVER.
Source: Hydriatic Treatment Of Scarlet Fever In Its Different Forms
_Scarlatina simplex_, or _simple scarlet-fever_ (9), without
inflammation of the throat, is generally so mild in its course, that it
requires little or no treatment. However, I would not have parents look
upon it as "scarcely a disease," as neglect and exposure may bring on
bad consequences (7 and 25). If the fever and heat are very moderate,
the first days an ablution of the body with cool water (say 70 deg.), twice
a day, is sufficient. The patient had better be kept in bed, or, if
unwilling to stay there, he should be warmly dressed and move about his
room, the temperature of which, in this case, should not be below 70 deg.
Fahrenheit, and the windows should be shut, as long as the patient is
out of bed.
When the period of efflorescence, or standing out of the rash, is over,
packs ought to be given, to extract the poison completely from the
system, and to prevent any sequels, such as anasarca, &c. (25). Should
the rash suddenly disappear before the fifth or sixth day, or should it
linger in coming out, a long pack will bring it out and remove all
danger. The packs, once begun, should be continued, once a day, during
and a few days after desquamation. The patient may go out on the tenth
or twelfth day warmly dressed, after his pack and bath, and walk for
half an hour; sitting down or standing still to talk in the open air is
not to be permitted. During, and some time after convalescence, the
patient should take a cool bath, or a cold ablution every morning,
immediately on rising from bed, and walk after it as soon as he is
dressed. In very cold and disagreeable weather, the walk should be taken
in the house; but the patient should not sit down, or stand about,
before circulation and warmth are completely restored in every part of
the body, especially in the feet. I cannot insist too much upon exercise
being taken immediately after every bath, as, without it, the bath may
do more harm than good, and dressing, with many, will take so much time,
that they will take cold before getting their clothes on.
If the patient should take cold, or feel otherwise unwell, during
convalescence, the packs must be resorted to again, and continued till
he is quite well.
Next: Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever