A treatise on the diseases of infancy and childhood . ied by stomatitis. Simpleor ulcerous stomatitis often ])recedes gangrene. Diseases sometimes terminate in gangrene of the mouth in conse-quence of injudicious treatment, which has lowered the vitality of thesystem. Rilliet and Barthez mention the case of a child four yearsold, in whom gangrene commenced at the twenty-ninth day of primitivepneumonia. This child had been reduced by the application of twelveleeches, three scarifications, a large blister, and by the use of absolute diet. The misuse of mercury was once a much more frequent cause
A treatise on the diseases of infancy and childhood . ied by stomatitis. Simpleor ulcerous stomatitis often ])recedes gangrene. Diseases sometimes terminate in gangrene of the mouth in conse-quence of injudicious treatment, which has lowered the vitality of thesystem. Rilliet and Barthez mention the case of a child four yearsold, in whom gangrene commenced at the twenty-ninth day of primitivepneumonia. This child had been reduced by the application of twelveleeches, three scarifications, a large blister, and by the use of absolute diet. The misuse of mercury was once a much more frequent cause ofgangrene, than at present, at least in this country, since this agent wasformerly much more employed than now. In fact most of the affec-tions of infancy and childhood in which mercurials were formerly em-ployed are now treated without it. Symptoms.—Gangrene of the mouth so often occurs in connectionwith other diseases, that its symptoms are in a large proportion of casesblended with those which arise from a distinct pathological state. Fig. 3;. There is usually prostration more and more pronounced as the gan-grene extends. The features are ordinarily pallid, but occasionally theirnormal color is preserved for a time ; the expression of the face is melan-choly, but composed. Sometimes the child is fretful, if disturbed; atother times it will quietly consent to an examination. The suffering isnot proportionate to the gravity of the disease. There is less pain oftenthan in some of the forms of stomatitis which are unattended with danger. As the disease advances, the body and limbs gradually waste, the eyesare hollow, or, if the gangrene be near the orbit, the eyelids becomecedematous, the lips are infiltrated, and both the lips and nostrils are 676 GANGRENE OF THE MOUTH. often incrusted. If the cheek be perforated, alimentation is rendereddifficult, and the appearance of the child is melancholy in the extreme. The tongue is usually moist; it is occasionally swollen. The sali
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Keywords: ., bookcentury1800, bookdecade1880, bookidtreat, booksubjectchildren
