Diseases of infancy and childhood

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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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y been described in the article on Follicular Tonsillitis. The differential diagnosis depends on the presence or absence of theKlebs-Loeffler bacillus. Complications.^—The most frequent complication met with is hronclio-pneumonia. More deaths occur from this than from any other complica-tion. It is usually the extension of the disease from the larynx to the ^ For a detailed description of the various complications, the reader is re-ferred to the special articles on Otitis, Empyema, etc. DIPHTHERIA. 523 bronchi. When a septic form of diphtheria exists broncho-pnournonia usu-ally accompanies it. (See chapter on Pneumonia.) Pleurisy with serous effusion frequently complicates this disease. Empyema not infrequently complicates. A number of these cases havebeen seen by me during my service at the Willard Parker Hospital. Otitis is occasionally met with as a complication of diphtheria. It isusually the result of a streptococcus infection through the nose or throatinto the Eustachian tuhe.
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Fig. 1()().—Temperatiiio Chart from a Case of Diplitlieria eoniplicattHl byBroncho-pneumonia (Step-hidder Type of Fever), (Original.) Myocarditis is the most frequent form of heart complication met within diphtheria. Endocarditis and pericarditis are also seen in severe types of thisdisease. Meningitis is not often seen, though I have seen o such eases out ofa( iolal of WIS at the AVilhird Parker llos))ital during my servire. AboutU) per cent, of all se()tic cases have meningitis. Cerebral t/ironiI)Osi^s and eniholisDi occasionally complicate diphtheria,and result in hemiplegia, convulsions, ov aphasia. 524 THE INFECTIOUS DISEASES. Tliromhosis of the pulmonary artery of the heart may cause suddendeath. This is usually accompanied by feeble hearts action the result ofdegenerative changes in the muscular walls (Holt). Hcemorrhages occur quite often. Bleeding from the nose and from theear. also blood in the urine and blood in the stools, has frequently been seenby me. These cases are o

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