. The diseases of children : medical and surgical. tacks we have noticed an enlargement of the cervicalglands, either the deep cervical at the angle of the jaw, or the glands under theupper part and posterior edge of the sterno-mastoid, without any appearances Feverishness 247 of irritation in the tonsil or pharynx ; possibly there may be such a diseaseas an acute idiopathic adenitis, or some poison may perhaps be absorbedfrom the pharynx and enter the glands without setting up any local lesion atthe point of absorption. Such cases have been described by E. Pfeififer, Heubner, and Rauchfuss.,u
. The diseases of children : medical and surgical. tacks we have noticed an enlargement of the cervicalglands, either the deep cervical at the angle of the jaw, or the glands under theupper part and posterior edge of the sterno-mastoid, without any appearances Feverishness 247 of irritation in the tonsil or pharynx ; possibly there may be such a diseaseas an acute idiopathic adenitis, or some poison may perhaps be absorbedfrom the pharynx and enter the glands without setting up any local lesion atthe point of absorption. Such cases have been described by E. Pfeififer, Heubner, and Rauchfuss.,under the name of grland fever. The attack, according to Pfeiffer, is suddenand the fever moderately high ; there is complaint of tenderness in the neck,and some of the cervical glands, usually those at |the posterior border of thesterno-mastoid, or the occipital glands, are swollen and tender. In a fewdays the temperature falls and the glands become normal. In a few instancesthe attack has been more severe and has lasted longer. In these cases no. Fig. 47.—Temperature Chart showing high temperature due to an acute otitis in aninfant of seven months. abnormal appearances have been detected in the tonsils or nasal mucousmembrane. The glands never suppurate. Pfeififer has noted several ofthese cases in one house at the same time, the disease being infectious orepidemic. We are, however, rather inclined to think that while gland fever doesundoubtedly take place, it is rarely idiopathic, but the result of absorption oftoxic materials from a mucous membrane. Gland fever often occurs mscarlet fever and other various forms of tonsillitis, the throat may beapparently well or hardly abnormal, yet the cervical glands are swollen andtender, and the patient feverish. Acute cerebral cong-estion or sunstroke may be accompanied by high 248 The Specific Fevers fever, quickly followed by death, though fortunately this is not always thecase. In many cases with a high temperature and cerebral sy
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