A Case of Achillodynia Due to an Exostosis of the Os Calcis, Associated with an Interesting Form of Bursitis

JOEL E. GOLDTHWAIT
1897 Boston Medical and Surgical Journal  
On this day, December 7, 1896, the convulsions were more continuous and severe than ever before. Three grains of chloral and five grains of sodium bromide were given by rectum, and Dr. T. M. Rotcli was called in consultation. Dr. Rotch made a provisional diagnosis of inanition from indigestion, which might well have followed the injudicious method of feeding. The child was so exceedingly ill at this time that the prognosis was doubtful. The question of malaria was suggested by the family, but,
more » ... s the temperature had been normal and no periodicity of the symptoms had been observed, the matter was left in abeyance. Dr. Rotch recommended Walker-Gordon-Laboratory milk of the following composition : Albumin.0.5% Pat.2.0 Sugar.6.0 One-litilf ounce every hour. The child improved slightly for three dayB, and then began again to have continuous convulsions, so that broinido aud chloral were resorted to for several days. The blood was examined on December 10th, and the plasmodia malaria: were found in abundance. The child was given one grain of quinine by the rectum in enema twice daily, and the convulsions ceased from this time, but muscular rigidity, sleeplessness, colic, constipation and restlessness persisted. Dr. Rotch was informed of tho result of the blood
doi:10.1056/nejm189705271362104 fatcat:fhxalqrrojaujdi67bg3eefd4y