1833 The Lancet  
298 according to the degree of excitement. If the skin be thick, and adherent to a certain quantity of cellular membrane, the reunion is almost always secured. If, on the contrary the skin be thinned, and devoid of adipose tissue in its interior surface, we are often obliged to remove it, after the resection of the edges has been attempted in vain. Simple dressing is then applied, and the patient placed on the use of bitters and mild laxatives. Sometimes thd aponeurosis, and even the muscles,
more » ... e destroyed, but these circumstances cause no change in the treatment. When the ulcer is very large, and the suppuration abundant, tonics are necessarily employed. These statements are illustrated by the following case : -Jean B. Cceur de Rov, setat. 49, of strongconstitution, experienced pain for two or three I months between his shoulders, when on the 24th January 1813, a small tumour appeared, in appearance like the head of a nail. There was no inclination to vomiting, no loss of appetite. The tumour increased rapidly, and in less than twentyfour hours there was formed an inflammatory swelling of prodigious size. It was remarkable that the patient, whose left eye was very weak-sighted, regained its strength of vision immediately after the appearance of the anthrax. Four days were next spent in the most intense pain. The tumour then opened spontaneously in several points, parcels of cellular tissue escaped, and on the 7th of May, twelve days after the attack, the skin was entirely destroyed. On the 15th he entered the H6tel Dieu, having an ulcer four or five inches in diameter, and the surrounding skin being all separated. The edges of the wound were now brought towards each other by bandages, &c. its edges were open; the sore simple; taking care to exercise slight compression on the edges of the ulcer, which was soon reunited. The patient left the hospital on the 5th of April not yet perfectly cured, although he had entered on the 7th day of the disease. We may conclude what we have to say on the treatment of anthrax, by observing, that we must continue at each dressing, and until the parts are fully degorged, the pressure designed to favour the escape of the remains of the gangrenous cellular tissue. THE combination of mental and manual dexterity in the reduction of dislocations is much more general and successful in France than Great Britain, as all will allow who have witnessed the amusing and instructive scenes which take place in the Hôtel Dieu,—Mr. Crampton, Dub. Jour. Legale, &c. IN the month of August 1832, a couple named Terrier, and their mother, then in good health, experienced severe colic and nausea, followed by violent vomiting, after having eaten of cabbage soup. The young girl Terrier, their niece, who had eaten of the same soup, was attacked with the same symptoms. A man named Chardon, to whom the Terriers supplied soup, experienced similar accidents at the same time. All these symptoms were renewed with increased intensity on the same individuals using the part of the soup which remained from the first meal. The husband Terrier died in 4 8 hours, and, hismother in 72 days after. His widow recovered, after being confined to bed for eight months; but she remained in a state of incurable infirmity, which rendered her incapable of working at any employment. t The medical men who attended the pai tients could affirm nothing respecting the causes and nature of the disease. Two of them, however, attributed the death to , gastro-enteritis. The bodies were buried, and Urbain X. was called to inherit their property. It was then ascertained, that some years previously, this man had purchased a pound of arsenic. Another couple, Moreau, were the brother and sisterin-law of Urbain. On the 24th July 1832, he came to dine with them, and, chatting about the quality of their new corn, he asked to see it. The woman Moreau, who was about to bake, had recently put flour in her chest. She showed this flour to Urbain, who took up a handful of it, and in a few seconds threw it back again into the chest, saying it was better than his. The 26th of the same month the woman Moreau made her bread. Her husband and son, herself, and ten other persons, ate of it, and all were attacked with a violent colic and frequent vomiting. If they resumed the use of that bread, the accidents recurred. When its use was abstained from, they ceased. Bread was then made with other flour proceeding from the same corn, and ground at the same time, and this produced no ill effect. The woman Moreau did not recollect of any other person but Urbain having called on them. Had she and her son died, Urbain would have inherited their fortune.
doi:10.1016/s0140-6736(02)94589-7 fatcat:h53njqjvfbbvxc2ysg4yqvcnh4