. The diseases of children : medical and surgical. e infant, which was seven weeks old, snuffled a week beforeits death, and three days before a reddish rash appeared on the buttocks and around the G G 450 Syphilis mouth. It was found dead in its cot. At the autopsy the infant was fairly well nourished,there was a purulent discharge issuing from its nose, the skin around the mouth and nosewas excoriated, apparently from the nasal secretion, and there were some excoriations andredness around the anus. The whole of the mucous membrane of the nose was in a foul,almost sloughy condition, the surfa
. The diseases of children : medical and surgical. e infant, which was seven weeks old, snuffled a week beforeits death, and three days before a reddish rash appeared on the buttocks and around the G G 450 Syphilis mouth. It was found dead in its cot. At the autopsy the infant was fairly well nourished,there was a purulent discharge issuing from its nose, the skin around the mouth and nosewas excoriated, apparently from the nasal secretion, and there were some excoriations andredness around the anus. The whole of the mucous membrane of the nose was in a foul,almost sloughy condition, the surface being dark-coloured and covered with one tonsil there was a deep ulcer ; there was no laryngitis ; all the other organs in thebody were healthy. While in the more severe forms the infant is the colour of cafe au lait,wizened and wasted, other infants may be seen who are plump and ruddy,yet who are undoubtedly syphilitic, and who subsequently develop a typicalrash. In some who suffer later from syphilis no history can be obtained of. Fig. 90.—Congenital Syphilis, showing flattening of bridge of nose, scars aroundmouth, and keratitis. coryza or rash, and we are driven to the conclusion that the secondaries aresometimes so slight as not to attract the attention of the friends, and mayeven deceive the medical practitioner. The mortality of syphilitic babies ishigh ; not only is the effect of the poison depressing, but the blood seems tobe profoundly altered, the digestive organs are interfered with, and the infantwastes and dies. Conge^iital sypJiilis^ nial-nutrition is written on thedeath certificate of many syphilitic babies. On the other hand those who suffer in a less severe form and come undertreatment early rapidly improve, gain flesh, and for a time at least all sym-ptoms disappear. While such cases may apparently be entirely cured, yetlike the secondaries which occur in adults, the symptoms are very apt to re-appear, especially during the second and third y
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