Medical and surgical report of the Presbyterian Hospital in the City of New York . troduced into thejoint with aseptic precautions, and about two and one-half ounces ofthick, sticky, yellowish pus containing small fibrinous masses wasobtained. The yellowish areas on the tongue and at the angle of themouth had enlarged. The deep macular eruption noted on admissionhad steadily faded and appeared now only as a faint dull discolorationof the skin, over which was a very scanty fine desquamation. Thetemperature this afternoon reached 106° F. Operation was advised, but owing to delay in the friends r


Medical and surgical report of the Presbyterian Hospital in the City of New York . troduced into thejoint with aseptic precautions, and about two and one-half ounces ofthick, sticky, yellowish pus containing small fibrinous masses wasobtained. The yellowish areas on the tongue and at the angle of themouth had enlarged. The deep macular eruption noted on admissionhad steadily faded and appeared now only as a faint dull discolorationof the skin, over which was a very scanty fine desquamation. Thetemperature this afternoon reached 106° F. Operation was advised, but owing to delay in the friends reachingthe hospital it was not performed till the following evening. On themorning of the day of operation, June 30, the left wrist was swollen,red, hot, and tender; active and passive motion were intensely were no signs of lymphangitis. The patient was now transferred to the service of Dr. Hawkes,with whose permission the subsequent history is given. Incision ofthe knee-joint and wrist was performed by Dr. Hawkes on the evening REPORT OF A CASE OF GLANDERS. T,2^. REPORT OF A CASE OF GLANDERS. 323 of June 30, and a considerable amount of sticky, yellowish, thin pus,without odor, and containing large fibrin masses, was evacuated fromboth joints. The patient did badly after the operation. The tem-perature remained high for the most part, between 104° and 106°F., once reaching °, and registering ° F. just before sponging had no effect upon the temperature or pulse, whichlatter ranged between no and 176. Two days after operation the patient became semi-comatose. Attimes he was very delirious, but for the most part he lay in a state ofsemi-coma from which he could with difficulty be aroused. The dis-charge from the wounds was at first thin, yellow, odorless, and ratherscanty, but in forty-eight hours it had become more profuse, thick, andfoul. July 4. A deep, boggy swelling was discovered just above theright ankle. It was incised, and a sma


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Keywords: ., bookcentury1800, bookdecade1890, bookpublishernewyo, bookyear1896