Publisher's Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1878 edition. Excerpt: ... are common. All degrees of feverishness and prostration are found in whooping-cough, but these are usually present to a serious extent only in those cases associated with much catarrh, with diarrhoea, or other complications. In the intervals of the paroxysms the child seems often perfectly well. In the diagnosis, the presence of an ulcer on the frenum linguae is sometimes of considerable value; it appears in about one half of the cases soon after the paroxysmal cough has been fully developed. It only occurs in those who have incisor teeth in the lower jaw, so that it seems to have a purely mechanical origin. This ulcer disappears with the diminution of the cough. The paroxysmal cough of pertussis, and also the ulcer, may both disappear with the advent of serious complications (pneumonia, convulsions, &c.) and may reappear after these have passed away. A crowing inspiration, somewhat resembling that of pertussis, is found in young children in the disease known as Laryngismus stridulus: it is due, as in whooping-cough, to spasm of the glottis, but there is not usually any special cough in Laryngis-mus. This disease affects rickety children in particular, and is frequently associated with attacks of general convulsions. Another disease associated with paroxysmal cough and crowing is that known as Bronchial phthisis, due to tubercular affections of the bronchial glands. This often bears a close resemblance to pertussis. The history of a former attack of whooping-cough, or the absence of any evidence of infection received or transmitted, and the chronicity of the complaint frequently assist in the discrimination of this disease. In Measles and Influenza the disease, although of a general nature, falls specially on the organs of respiration, ..
