. The British journal of dermatology. g the journey toEngland, there was still enough to suggest the diagnosis of sporo-trichosis. On the right hand and arm, extending from the dorsum of thethumb to the axilla, there was a feeries -of dusky-red, raised, softish 242 A CASE OF SrOEOTRICHOSIS. nodules, of the size of a pea to a small marble, and these noduleswere connected by a firm, raised red ridge in the skin, evidently a stringof thickened lymphatics (Plate I, fig. 1, and Fig. 1). The patientsaid that in Rio, in February, he had slightly wounded the back of hisright thumb, and thumb
. The British journal of dermatology. g the journey toEngland, there was still enough to suggest the diagnosis of sporo-trichosis. On the right hand and arm, extending from the dorsum of thethumb to the axilla, there was a feeries -of dusky-red, raised, softish 242 A CASE OF SrOEOTRICHOSIS. nodules, of the size of a pea to a small marble, and these noduleswere connected by a firm, raised red ridge in the skin, evidently a stringof thickened lymphatics (Plate I, fig. 1, and Fig. 1). The patientsaid that in Rio, in February, he had slightly wounded the back of hisright thumb, and thumb had become inflamed, the inflamma-tion subsequently extending along the whole arm to the abscesses had appeared along the arm, and the whole limbhad become much swollen and inflamed. No treatment had doneany good until during the voyage home large fomentations had beencontinuously applied. The disease appeared to be now quiescent, and the nodules, hesaid, were becoming smaller, but the case so much recalled the earlier. Fig. 1. examples of sporotrichosis which had been described that I excised anodule for microscopical examination and inoculated a number ofculture-tubes Avith the now rather inspissated pus from a smallabscess. Sabourauds proof medium, as used for lingworm cultures,was employed, and there appeared in two tubes undoubted culturesof sporothrix. The cultures were at first dirty white, moist, smooth, acuminateelevations with a finely fringed margin. They appeared on the sixthday in the original cultures, on the second day in sub-cultures. Theygrew rapidly, became dark brown at the centre, and convoluted. Atthe end of two weeks the cultures were very dai-k brown in colour,much convoluted at their central part and finely rayed at theirmargin, which was still pale. The medium used was Sabouraudsproof medium (peptone Chassaing 1, glucose or maltose 37, agar 1*5> British Journal of Dermatology. f Vol XXIII, No. 8. ILATK I,
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsyphilis, bookyear188
