Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ia and prove fatal. Like non-syphilitic pemphigus, dermatitis exfoliativa is pre-ventable by scrupulous cleanliness, and avoidance of local irrita-tion. The local treatment consists of inunctions of 1 per cent,salicylic or carbolic acid oil. GENERAL SEPSIS. In speaking of primarily local septic affections attention hasbeen directed to the frequency with which grave constitutional SEPSIS NEONATORUM. 179 symptoms are observed during their protracted course. In these
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ia and prove fatal. Like non-syphilitic pemphigus, dermatitis exfoliativa is pre-ventable by scrupulous cleanliness, and avoidance of local irrita-tion. The local treatment consists of inunctions of 1 per cent,salicylic or carbolic acid oil. GENERAL SEPSIS. In speaking of primarily local septic affections attention hasbeen directed to the frequency with which grave constitutional SEPSIS NEONATORUM. 179 symptoms are observed during their protracted course. In these cases the systemic manifestations are secondary to the local ones, and if the latter are detected and treated early, the former prophyiaxi may be prevented or arrested in their incipiency. We are now about to describe a group of septic diseases in the newly born which either present no visible local lesions at all, or so slight as to escape attention in their early stages. Tetanus (Trismus) Neonatorum. Tetanus in the newly born, like the corresponding disease inthe adult, is due to the tetanus bacillus (Nicolaier, Kitasato).. Fig. 51.—Bacillus Tetani. X 1000. (After Frankel and Pfeiffer.) Infection usually occurs through the umbilical stump or circum- Infectioncision wound. The bacillus multiplies bv spore-formation and though r j r open wound. generates toxins which enter the system, and are absorbed prin-cipally by the endings of the motor nerves. From here thetoxins are ultimately carried to the anterior horns of the spinalcord and the nuclei of the medulla oblongata—hence the tetaniccontractions. The symptoms begin within the first week after birth, rarelylater (after ritual circumcision), with restlessness, dropping of Lock:iaw-the nipple of the breast or bottle with a cry, and tension of themasseters. The spasm rapidly involves the orbicularis oris andpalpebrarum muscles, the lower jaw becomes rigid, the mouth 180 DISEASES OF THE NEWLY BORN. proboscidiform, the forehe
Size: 1659px × 1506px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
