Pediatrics : the hygienic and medical treatment of children . anything lowering the pro-tecting and resisting power of the epithelium. Catarrhal stomatitisis a very important predisposing cause. The injury to the epithelium^coming from rough methods of cleansing the mouth, or from lackof cleanliness, is a common starting point. A dry condition of themouth also leads easily to epithehal injury, and the scanty saHvarysecretion seen in the early months of life, or later in wasting diseases,is an important factor in explaining the frequency of thrush in young 94 Diseases or the Mouth, Nose, Pharyn


Pediatrics : the hygienic and medical treatment of children . anything lowering the pro-tecting and resisting power of the epithelium. Catarrhal stomatitisis a very important predisposing cause. The injury to the epithelium^coming from rough methods of cleansing the mouth, or from lackof cleanliness, is a common starting point. A dry condition of themouth also leads easily to epithehal injury, and the scanty saHvarysecretion seen in the early months of life, or later in wasting diseases,is an important factor in explaining the frequency of thrush in young 94 Diseases or the Mouth, Nose, Pharynx and Ear or atrophic infants. Infants with harelip, or other deformity of themouth, are also particularly liable to thrush. The disease may also be directly transmitted from another patient,by means of contaminated nipples, fingers, or implements used incleansing the mouth. Thrush is very common in all infant asylumsor institutions in which infants are in close contact, with neglectof cleanliness of mouths, bottles, nipples, and other implements. Fig. 225. Mycelium of thrush interspersed with spores and fatty degenerated cells. (Low powerZeiss Oc. 3, Objective DD, glycerin) • PATHOLOGICAL ANATOMY.—The fungus of thrush may befound on any of the mucous membranes of the baby. The usualplace for it to appear, however, is the mucous membrane of The growth may take place on both squamous and cyHndri-cal epithelium. According to Forchheimer, the first lodgement ofthe fungus comes between the epithehal cells of the mouth, andfrom this the growth works its way under the free surface of themucous membrane. When directly on the free surface the growthis not so luxuriant and is principally in the mycehum form. Inthe case of a mucous membrane lined by flat or squamous epithelium,the growth is facihtated by the relation of the cells to one a membrane lined by cylindrical epithehum, the growth takesplace, but not so readily, because there is but one layer of the cel


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatr, bookyear1917