Gangrene as a complication and sequel of the continued fevers, especially in typhoid / by William W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: Gangrene as a complication and sequel of the continued fevers, especially in typhoid / by William W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the clinical facts and deductions there set forth are as true to-day as they were then; and that typhoid and other con- tinued fevers have important surgical relations is now well recognized by the profession. It was my intention at first to consider in this, as in that, lecture all the surgical relations of typhoid; but when my intelligent and industrious friend, Dr. Thompson S. West- cott, of Philadelphia, who kindly consented to tabulate all the recorded cases of euch complications and sequels since 1876, brought to me a harvest of between seven and eight hundred cases, I found that it would be quite impossible to review them all within the limits of a single lecture. These, with the 433 included in the former lecture, make a total of nearly 1,200 cases (besides 352 cases of parotitis not included in the general summary in the first lecture, for they chiefly followed typhus), by far the largest and most complete table ever published. They practically cover the reported cases of the last fifty years. I would neglect another pleasant privilege, as well as duty, were I not to acknowledge the repeated courtesy and broad- minded liberality of the officers of the Library of the Sur- geon-General's Office of the United States Army, for the important aid they have rendered me in placing the treas- ures of their unrivalled collection at my disposal for frequent consultation, without which, this extensive tabulation would have been absolutely impossible. The bone lesions following typhoid have been more or less prominently considered of late, especially by Parsons of Johns Hopkins in this country.* Gangrene as a com- plication or sequel, however, is less frequent, and also less well known ; and 1 purpose, therefore, in the present lec- ture to consider it alone. The many other complications of typhoid 1 hope to take up in a monograph, which I shall * Johns Hopkins Hospital Reports, Vol. v., 1895, 417; and Annals of Surgery, November, 1695, 023.