PARIS

1893 The Lancet  
Kingdom where there is not such a hospital provided for the citizens. Queen's College, Beyast. On Thursday, Nov. 2nd, Dr. Byers, the new Professor of Midwifery and of Diseases of Women and Children, was installed in his chair and received a most cordial reception from a very large audience of colleagues, students, and medical practitioners who filled the midwifery class-room. Nov. 7th. ______________ PARIS. (FROM OUR OWN CORRESPONDENT.) The Curability of Tuberculous Peritonitis. MOST modern
more » ... is. MOST modern writers agree in regarding the absorption of tubercle deposited on the surface of the peritoneum as a frequent occurrence. Long before laparotomy was heard of as .a remedy for this condition, inunction of the abdominal parietes with liniment of mercury or with oleate of mercury had determined many a cure at Guy's Hospital. From a 'discussion that arose on this subject at the Societe Médica1e des Hôpitaux on the 27th ult. it would appear that a variety of therapeutical means suffice to bring about the same happy 'result. Thus, M. Rendu presented a woman who had been cured by intra-peritoneal injections of camphorated naphthol. Admitted into the ward in the month of May with considerable ascites and other unmistakable signs of tuberculous peritonitis, seven Pravaz syringefuls of pure camphorated naphthol were introduced into the abdominal cavity after this had been emptied of seven litres of fluid. Some fever .and pain resulted, but both disappeared in a few days. No return of the effusion was noted, and the altered condition 'of the abdomen enabled a diffused mass of tuberculous deposit to be distinguished. This mass (gâtea1t) became gradually absorbed, and by Aug. 15th the abdominal walls had regained all their normal suppleness. At presentit would be impossible for any physician to suspect the former existence of tuberculous peritonitis. In the course of the discussion that followed the reading of M. Rendu's paper M. du Cazal remarked that of all manifestations af tuberculosis that affecting the peritoneum was the one that had the greatest tendency towards recovery, and this under the most diversified forms of treatment-e. g., blisters, local applications of tinctures of iodine or of collodion, &c. Stranger still, M. Le Gendre said that he had seen tuberculous peritonitis in a young girl disappear completely in consequence of regular exercise on a tricycle. With regard to the employment of camphorated naphthol, both MM. Le Gendre and Fernet uttered a note of warning, the former stating that he had more than once seen animals into whose peritoneal cavity this substance had been introduced succumb in convulsions. -R6th,eln. At the same meeting 1 M. Sevestre stated that from notes he had recently taken of an epidemic of German measles at a Paris lycee he believed himself in a position to formulate the following conclusions: Epidemics of rubeola are characterised by successive outbreaks separated the one from the other by an interval corresponding to the period of incubation-here a fortnight on an average. The disease is infectious from the beginning, like measles, and isolation of the patients is too late a measure, for they have already spread around them the specific germs. The desideratum is isolation of children who have been in contact with cases. These exposed persons should be closely watched, especially from the twelfth day after exposure, in order that they may be isolated on °the appearance ,of the initial symptoms. Unfortunately, prodromata are, in the majority of cases, wanting, and preventive isolation is accordingly difficult to put into practice. Once the disease is over-i. e., in about eight days-the patient is no longer dangerous to his neighbours, and he may be safely allowed to mix with his comrades. On this point M. Sevestre ,differs in toto from M. Ollivier, who insists upon a quarantine of twenty days and the taking of an antiseptic bath, as well as the closing and the disinfection of the school that has been the locus of the disease. In the epidemic observed by M. Sevestre the patients remained in the infirmary for a period of from seven to twelve days and were then allowed to resume their studies. No instance of infection was noted. Disinfection of the room, furniture, &c., is, according to him, unnecessary, the 1 Société Médicale des Hôpitaux, Oct. 27th. specific microbe being, like that of measles, endowed with a very limited vitality. M. Juhel-Renoy laid stress on the importance of an early diagnosis and said that the apyrexia so commonly attending rubeola was an altogether exceptional phenomenon in measles. If, then, a child affected with a measly eruption was apyretic, rötheln might be almost certainly diagnosed. Of four cases observed by M. Rendu in the same family, two had fever and two had none.
doi:10.1016/s0140-6736(01)96457-8 fatcat:66xbq6pwdraenhkl4h3clgqxra