. The British journal of dermatology . longated swelling, made up of four smallnodules close together. An inch above this is a small inflammatorynodule. Following up the line of swellings in the forearm from the primary A CASK OK SlOIJOTKICHOKIS. 271 lesion upwards one sees a small red elevation in the lower third ofthe arni to the inside of tiie biceps, and 2 in. liigher a little nodulecan be felt under the skin. Between the nodules can be both felt and seen a hard cord runningup the forearm and uniting the swellings. See Fig. 1. When I saw the boy on the day of his first visit to the Adelaid
. The British journal of dermatology . longated swelling, made up of four smallnodules close together. An inch above this is a small inflammatorynodule. Following up the line of swellings in the forearm from the primary A CASK OK SlOIJOTKICHOKIS. 271 lesion upwards one sees a small red elevation in the lower third ofthe arni to the inside of tiie biceps, and 2 in. liigher a little nodulecan be felt under the skin. Between the nodules can be both felt and seen a hard cord runningup the forearm and uniting the swellings. See Fig. 1. When I saw the boy on the day of his first visit to the AdelaideHospital I made the following note: Lymphangitis: inflammatorynodules running up the forearm joined to each other by a lymphan-gitic cord. An unusual case. * Suspecting sporotrichosis I drew off with a sterilised needle attachedto a sterilised syringe some pus from one of the inflammatory swellingsand introduced this pus into a tube of sloped maltose agar. In aboutsix or seven days a growth appeared—a number of small whitish convex. Fig. 1. elevations, aptly compared by a nursing sister, Sister Adams, to theappearance of milium. In a few days the culture became brown andfinally black. Subcultures on sloped glucose and maltose agar made by thestroke method yielded after some weeks a typical raised plaited(convoluted) black culture, with delicate radiations into surroundingmedium. The convolutions of the culture resembled somewhat thesandcasts made by worms on the sea-shore (see Fig. 2). Examination of the culture histologically showed the typicalmycelium and spores of sporothrix—mycelium slender, about 2 diameter, septated and branching, and spores, pear-shaped or oat-shaped, 3-5 mm. in length, attached to and arranged round themycelium, in some places so closely together as to hide the myceliumand form strings or cylindrical masses of about 10 mm. in diameter. 272 A CASK OF SPOROTRICHOSIS. Tliere were many scattered spores detached in tlie process ofpreparation. Prof
Size: 2735px × 914px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectsyphilis, bookyear188
