File:Diseases of infancy and childhood (1914) (14791920683).jpg

Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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c. After theyhave dried, the slide is placed in the lu^ldiM and ivtunied in the addressedenvelope to a culture station, or mailed to the lab(U-atory. The diazo reaction should be looked upon as a valuable aid in makingthe diagnosis. It is described in detail in the chapter on *Trine,page i^23. 7he Era pi ion.—Ihe (M-uption consists oi lenticular-shaped, rose-eol-ored spots. They are small and slightly i^lcvated. These rose-eolored spotsappear at the beginning o\ tlu^ second week. The eruption lasts about tendavs, although the spots, last from two to three davs and are sueceede 1 ov 652 THE INFECTIOUS DISEASES. a new crop. They are seen on the thorax and abdomen, although at timesover the whole body. Leucopcenia if present strongly supports the diagnosis of typhoid. Inthe International Clinics 1909, I report a series of cases in which the whiteblood cells ranged between 4000-6000 at the beginning of the disease. Differential Diagnosis.—21 alaria frequently resembles typhoid. A dif-
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Fig. 214:.— Typhoid Fever.—Severe haemorrhages. Fatal result. (Original ) ferential diagnosis, can easily be made by an examination of a drop of bloodfor the presence of- plasmodia. The administration of quinine is a diagnostic test of practical im-portance. An irregular or intermittent fever which yields promptly toquinine is certainly not typhoid. In malaria, the temperature will be foundto touch normal at some time in the twenty-four hours. Cholera Infantum.—Many cases of supposed cholera infantum fre-aueiitl) prc)^■e to be typhoid fever. I have seen many cases in midsummer TYPJIOIJ) FKVFAL r;53 with a temperature of 10^° h\, having roseola, with vomiting and diar-rhoea. In such cases the diagnosis depends on tin; presence of the Widalreaction. When diarrhoea! symptoms and fever are present in the early stagesof typhoid fever it is extremely difficult to make a diagnosis. This appliesespecially to the first week of the disease before a Widal reaction can hemade. I have inv

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