What conditions influence the course of infantile syphilis? / by James Nevins Hyde.

  • Hyde, James Nevins, 1840-1910.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: What conditions influence the course of infantile syphilis? / by James Nevins Hyde. Source: Wellcome Collection.

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    -5% ilis. Fournier states that all his cases resulted in re¬ covery save in one instance, that of a child dying of cachectic pneumonia. With reference to the issue in the patients who have come under my personal observation, it can merely be set down that no one of the children is recorded to have died of the dis¬ ease, though, as is well-known, American dispensary patients are remarkable for the ease with which they escape from observation and elude the compiler of statistics. It is so rare that an infant acquires syphilis at the moment of birth, or almost immediately thereafter, that a study of even one such carefully observed case, when compared with that of a child affected with hereditary syphilis, possesses some interest: • A well-nourished infant, aged two and one-half months, of parents who were both wealthy and of good social position, was brought to me by the physician who had delivered the mother, himself a professor of obstetrics in one of our large medical schools. The child had a well-developed but lapsing initial scler¬ osis over the tip of the right ear (at the site of a wound inflicted by the obstetric forceps with which it had been brought into the world). It exhibited, also, accompanying adenopathy, and a brilliant macular exanthem. Mucous patches existed in the mouth, and the child had promptly infected its mother who exhibited a chancre of the nipple, with axillary adenopathy. The eruptive symptoms in the mother made their appearance in due time, in fact, after those of the child had quite disappeared. The father, who was absent from home months before and after the birth of the child, was carefully examined on his return, and was found to be even in unusually sound health, and denied prior venereal disease of