Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . inkled, dry, brown,then blackish, and about the thirteenth day the scab begins to form,beginning in the centre and gradually covering the entire pustule, 5. Period of Cicatrization.—This stage occupies from the eigh-teenth to the twentv-second dav. The scab dries and contracts more THE NOEMAL VACCINAL ERUPTION. 517 and more, and falls off on the twenty-third day (Chambon, Saint-YvesMenard), the twenty-fifth or twenty-sixth day (Layet), or in the thirdor fourth week


Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . inkled, dry, brown,then blackish, and about the thirteenth day the scab begins to form,beginning in the centre and gradually covering the entire pustule, 5. Period of Cicatrization.—This stage occupies from the eigh-teenth to the twentv-second dav. The scab dries and contracts more THE NOEMAL VACCINAL ERUPTION. 517 and more, and falls off on the twenty-third day (Chambon, Saint-YvesMenard), the twenty-fifth or twenty-sixth day (Layet), or in the thirdor fourth week (dEspine.) There is left a scar, goffered in appear-ance, at first reddish and later of an absolutely characteristic pearlywhite color, which remains almost indelible. Vaccinal Fever.—The vaccinal fever appears to be less intense in•children vaccinated during the first year of life than in adults whoJiave been vaccinated for the first time. It is often absent entirelyin cases of revaccination. It has been studied by v. Jaksch,^ ErichPeiper, and Sobotka. The temperature rises usually toward the DAYS 1102 uj 11 12. Fig. 12.—Temperature Curve in Vaccina. A schematic chart showing the average obtained byPeiper in nineteen uncomplicated cases. The childrens ages ranged from a few weeks to oneyear. (Surmont.) fourth or fifth day, sometimes not until the sixth or seventh day, andcontinues two, three, or four days. The maximum temperature,which is commonly reached on the eighth day, is usually about 39°€. (° F.), occasionally 40 C. (104° F.). ^ This is the usual course of the temperature when the vaccinationlas been done with the ordinary precautions, that is to say, after theskin of the child has been washed with some antiseptic solution andwhen the puncture has been made with a lancet or a needle previouslysterilized in a flame. When these precautions have not been taken,the fever may be more intense and may then be accompanied by othersymptoms, to which we s


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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895