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Description Of Scarlet fever
Affection Of The Brain
When the _brain_ is affected, the patient suddenly complains of violent headache, vomits repeatedly, loses his eye-sight, has furious delirium, or coma (a state of sleep from which it is difficult to rouse the patient); his pupils dilate; the pulse ...
Affection Of The Cerebellum And Spine
In affections of the _cerebellum_ and _spinal marrow_, the patient complains of violent pain in the back of the head and neck, in the spine, and frequently in the whole body. These also frequently terminate with the destruction of life. During ...
Condition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant attention. From a highly inflamed state, it often passes into a foul and sloughy condition; the breath of the patient becomes extremely fetid; the nostrils, the parotid and submaxillary glands...
Destruction Of The Organ Of Hearing
When the glands pass into a sloughing state, the parts connected with them are frequently damaged. Thus the ulceration of the parotid gland often causes deafness, by the gangrenous matter communicating to the eustachian tube and the inner ear, where...
Diagnosis
After what has been said about the symptoms of scarlatina, it cannot be difficult to distinguish it from similar eruptive diseases. However, as there is much resemblance between _scarlatina_ and _measles_, at least in the milder form of the former, ...
Diagnosis From Measles
In scarlatina the heat is much greater, and the pulse is much quicker than in measles.--In scarlatina the throat is inflamed, usually the brain affected, and the patient smells like salt-fish, old cheese or the cages of a menagerie; in measles, the ...
Division Of The Process Of The Disease Into Periods
Its course is commonly divided into four distinct periods, viz.: the period of incubation, the period of eruption, the period of efflorescence, and the period of desquamation; to which may be added: the period of convalescence. ...
Favorable Symptoms
are the following: Absence of internal inflammation; a bright florid rash; a regular, steady appearance, standing out, and disappearance of the latter; a regular and complete pealing off of the cuticle; a decrease of the pulse after the eruption of ...
Mild Reaction Erethic
If the poison is not virulent, and the body of the patient in a favorable condition, the _reaction_ is _mild_, and the poison is eliminated without any violent efforts on the part of the organism. This is the case in scarlatina simplex, and in mild ...
Other Bad Symptoms
These symptoms may present themselves with the rash standing out; but most frequently they occur when there is little or no eruption, or when it fades, becomes livid, or disappears altogether. A sudden disappearance of the rash, before the sixth day...
Other Sequels Dropsy &c
Beside the ulceration of glands and deafness, some of the sequels of scarlatina are white swelling of one or more of the joints, usually the knee, chronic inflammation of the eyes and eyelids, and partial paralysis. These chiefly occur in scrofulous...
Period Of Desquamation Or Peeling-off
About the sixth or seventh day, the epidermis, or cuticle of the skin begins to peal off, commencing in those places which first became the seat of the rash, and gradually continuing all over the body. In such parts as are covered with a thin delica...
Period Of Efflorescence Or Standing Out Of The Rash
During the first day or two of the period of efflorescence, which lasts three or four days, the above symptoms usually continue to increase. Sometimes, however, the patient is alleviated at once on the rash being formed. This alleviation always take...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on the third, and only in very bad cases later, the rash begins to make its appearance, under an increase of the above symptoms, especially of the fever and delirium, and continues to come out ...
Period Of Incubation Or Hatching
The time which passes between the reception of the contagious poison into the system and the appearance of the rash, is called the period of incubation; incubation or incubus meaning, properly, the sitting of birds on their nests, and figuratively, ...
Putrid Symptoms
Next to those most dangerous forms--most dangerous, because the organic power (the _vis medicatrix naturae_), from which the restoration of health must be expected, and without which no physician can remove the slightest symptom of disease, becomes ...
Scarlatina Anginosa Or Sore-throat Scarlet-fever
Wherever the _throat_ is affected, which is almost always the case, the disease is called _scarlatina anginosa_, or _sore-throat scarlet-fever_. This is the form described at the commencement of this article. There are several varieties, however, of...
Scarlatina Miliaris
Sometimes the red patches of the rash are covered with small vesicles of the size of mustard-seed, which either dry up or discharge a watery liquid, leaving thin white scurfs, that come away with the cuticle during desquamation. Although this form, ...
Scarlatina Simplex Or Simple Scarlet-fever
In the _mildest form_ of the disease, called _scarlatina simplex_, or _simple scarlet-fever_, there is no inflammation of the throat, the fever is moderate, and the patient suffers very little. Unfortunately this form is so rare, that many experienc...
Scarlatina Sine Exanthemate
There are also mild cases of scarlet-fever, when little or no rash appears, and the throat is very little affected. These are the result of a particularly mild character of the epidemy, together with a peculiar condition of the skin, the desquamatio...
Scarlet-fever Or Scarlatina
is an eruptive fever, produced by a peculiar contagious poison, and distinguished by extreme heat, a rapid pulse, a severe affection of the mucous membranes, especially those of the mouth and throat, and by a burning scarlet eruption on the skin. ...
Sudden Invasion Of The Nervous Centres
Of the different forms of scarlatina maligna the most dangerous is the sudden invasion of the nervous system, particularly the _brain_, the _cerebellum_ and the _spine_, by which the patient's life is sometimes extinguished in a few hours. In other ...
The Contagion Of Scarlatina Very Active
The _contagion_ of scarlatina is very active, and adheres for a long time to the sick-room, bedding, clothes and furniture. The best means to destroy it, is plenty of air. It is difficult to say when the contagion is over, as much depends on the sea...
The Malignant Forms Of Scarlet-fever
are caused by the character of the epidemy, but, perhaps, more frequently by the weak and sickly constitution of the patient and the external circumstances affecting it. Thus, persons of scrofulous habit, being naturally of a low organization, witho...
The Period Of Convalescence
under the usual drug-treatment, is, however, usually protracted to twice or thrice the duration of the disease, the patient being compelled to keep the house for five or six weeks, especially from fear of _anasarca_, or dropsy of the skin, frequentl...
The Prognosis
under a well conducted course of hydriatic treatment is, in general, favorable. Much depends, however, on the season of the year (in damp and cold weather--partly owing to a lack of pure air in the sick-room--the disease is more dangerous than in su...
Torpid Reaction Asthenic
The more violent the contagious poison, and the weaker the organic power, the less decidedly and the less successfully will the organism combat against the poison, and the more inroad will the latter make upon the system, affecting vital organs and ...
Varieties Of Forms Of Scarlatina
The above is the description of scarlet-fever, as it most frequently occurs. But far from taking always that regular course, the constitution of the patient, the intensity of the epidemy and the virulence of the poison, the treatment and other circu...
Violent Reaction Sthenic
If both, the contagious poison and the organism, are very strong, a _violent reaction_ will take place, and the safety of the patient will be endangered by the very violence of the struggle, by which internal organs may be more or less affected. ...