File:Diseases of infancy and childhood (1914) (14771962725).jpg

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

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ling ecchymoses. The appetite is diminished, partlydue to the fear of ))ain caused by cluwing. Some authorities state that children so alVected have diarrluva. Foreh-heimer believes that luvmorrhages rarely occur, owing to the blood-vesselsbeing filled with thrombi. ^Areli. fur kliii. Cliir., ISDO, lix.■■^Journal of Infoctioiis Disoasos, 1007.^Journal of Infoctious Disoasos, Jan., 11)07. 212 DISEASES OF THE MOUTH. When this gangi-enous mass discharges we will find a dirty, fetidsaliva, with threads of broken-down tissue. The cervical glands in theimmediate vicinity are always found enlarged. In severe cases it is notrare to have the parts ulcerate and even perforate the cheek after severaldays. When the disease extends inward, not only does periostitis occur, but•necrosis of the jaw-bone has been noted. When the disease is as malignantas has just been described, then subnormal temperature, possibly delirium,may complicate the condition. The disease may extend to the lungs, caus-
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Eig. 57.—Case of Stomatitis Gangrenosa (Noma) Following ScarletFever. The picture shows the unilateral gangrenous condition involvingthe right cheek and the lips. Case recovered. Clinical history given inthe text. (Original.) ing a gangrenous infiltration. When the gangrene affects the genitals ingirls, then a serious prognosis must be given. The following cases will illustrate the condition described:— Elsie G., aged 7 years, was seen by me in January, 1900. The child had com-plained of severe headache for three or four days, and was very feverish. Hermother became alarmed because of persistent vomiting. She stated that the childvomited at least six times in twenty-four hours. She complained of feeling fatiguedand had pains in her arms and legs. The child was nursed for ten months, and was a strong baby up to this time;dentition commenced at the seventh month; the childs muscles and bones werewell developed; there were no evidences of rickets; the first two years were passed NOMA

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