. Diseases of infancy and childhood . me reddened and adiffuse erysipelas was diagnosed. The temperature iii(;reas(;d to 10.).8\ The easr;was then seen by Dr. A. Jacobi in consultation. Treatment.—Local treatment consisting of evaporating cooling lotions; leadand opium wash and bichloride were used without any marked benefit. Credeointment was rubbed into the axillary glands several times a day. An injection of10 cubic centimeters of antistreptocoecus serum (Aronson) seemed to have verygood effect. The cooling lotions were continued, but within twenty-four hours afterthe serum injection the te


. Diseases of infancy and childhood . me reddened and adiffuse erysipelas was diagnosed. The temperature iii(;reas(;d to 10.).8\ The easr;was then seen by Dr. A. Jacobi in consultation. Treatment.—Local treatment consisting of evaporating cooling lotions; leadand opium wash and bichloride were used without any marked benefit. Credeointment was rubbed into the axillary glands several times a day. An injection of10 cubic centimeters of antistreptocoecus serum (Aronson) seemed to have verygood effect. The cooling lotions were continued, but within twenty-four hours afterthe serum injection the temperature came down by lysis and after four days thetemperature was normal. The case recovered. CllAI^TKIJ \ (SMALLPOX). This acute infections and contagions disease is frequently seen in un-vaccinated children. It is rarely met with in children that have been prop-erly vaccinated. I have seen smallpox in very young infants and childrenthat ivem unvaccinated during my service at the Riverside Hospital in thesummer of Fig. 208.—Fatal Smallpox in an L^nvaccinated Four-weeks-old day of eruption. (Kindness of Dr. J. F. Schamberg.) Etiology.—The etiological factor, most likely a specific micro-organ-ism, has not yet been found. Among unvaccinated children between 1 and 10 years of age, someauthors state that 58 per cent. die. During the Sheffield epidemic, of2892 unvaccinated children under 10 years of age living in infected Table No. 65.—Showing Number of Cases, and Percentage of 3Iortality {AUbutfs Si/stem) Unvaccinated. Vaccinated. Cases. Deaths. MortalityPer cent. Cases. Deaths. MortalitvPer cent. Under 5 years .5 to 9 years . .10 to 14 years . 1131952 6J7 647 385155 38514683080 305990 Totals . . 2690 1187 4L3 4933 179 (638) VARIOLA. 039 houses, per cent, were attacked. During the Warrington opidornic )j^er cent, of unvaccinated children under 10 years of age vv(?re attacked. It is a curious fact that tlie


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