File:Tri-State medical journal and practitioner (1897) (14591847338).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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or combating the disease curtail thisbut little. On the other hand, an abortive treatment which is efficientand which will be outlined further on will succeed in reducing the lengthof an attack from fourto six days. At least such has been my experience in anumber of cases, and I have called attention to it in a former paper pub-lished by me.* The method was found to be efficient in both children andadults. When zona attacks young children the process differs somewhat in itsevolution from the same disease occurring in adults. As a rule, it is notpreceded, by neuralgia, and the younger the child the less complaint there * St. Louis Medical and Surgical Journal, August, 1896. so Original Articles. is on that score. This cannot be explained in any other way but thatwhich has been adopted to account for the fact that infants suffer less painand its after-effects are shorter, in an operation, than in the case of adults.The only rational explanation which has been given for this fact is that
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Fig. 2. Zona of Back. the nerves and nerve centers are not as well developed; in other words,they are still in the stage of development, and the higher nerve and braincenters are not in that receptive state which they assume later on in life.The functions of the being are purely vegetative, and all evidences of emo-tion are referable to interference with those functions, with the possible Zona—Ohm ann-Dum esn il. 561 exception of pain due to trauma, and this is of comparatively short dura-tion. On the other hand, when zona occurs in young children there isapt to be quite a marked elevation of temperature. This is known aszosterian fever, and is directly due to the disease, which is, no doubt, anirritation of the nerve centers. It occasionally becomes alarming, andshould be combated with antipyretics such as are not heart-depressant,for the heart is also apt to suffer from some transitory functional disturb-ance more alarming from an apparent standpoint than from a real one. The loca

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