File:Diseases of infancy and childhood (1914) (14772051245).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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ated witliAntistreptococcus Serum. (Original.) All of these serum cases did remarkably well. I was impressed by theexcellent results, especially by the distinct fever crisis, after the necessarydose of serum was injected. The streptolytic serum made by Stearn is wellworth trying in severe scarlet fever. M_ am imlebled lo Messrs. SeluMino- ,^ Chxiy. iov seiuliuo- ,„e sunieient sonnufor clinical trial. -New York IMedieal Record. AInreh 7, 100.?. 630 THE INFECTIOUS DISEASES. The preceding ehaii; is tlie record of a case occurring in my privatepractice. The S2:)ecific action of antitoxin in diphtheria is far gi^eater compara-tively than the action attained from the use of this antistreptococeus serum. The Temperature.—The effect of the serum on the temperature showsthat it did inhihit bacterial products. Within twelve to twenty-four hoursafter the serum injection I have seen a distinct crisis in the temperature.In other cases the temperature was gradually reduced hy lysis. (Fig. 203.)
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Fig. 204.—^Method of Xasal Syringing employed in the Scarlet FeverWard of the Riverside Hospital. (Original.) Another interesting observation in most cases is the disappearance,almost melting away, of the necrotic membranes after the fourth day. Theglands of the neck were swollen and subsided with the disappearance of thethroat manifestations. The vital point consisted in a streng-thening diet inaddition to strict hygiene. I feel warranted in advocating the nse of thisserum in the treatment of scarlet fever. Medicinal Treatment.—Tlie Throat: When children are old enoughto use a gargle they should be given a mild antiseptic solution, such as table-salt solution, using a pinch of salt to a wineglassful of lukewarm water.Gargle every hour. A spray consisting of noinial saline solution directed against thepharynx and tonsils every hour is useful. If spraying is difficult, then the SCARLET FEVER. 631 throat may be swabbed with cotton dipped in saline solution. Tfigh tempera-ture will f

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