Daily American organ. [volume] (Washington, D.C.) 1854-1856, 1855-06-23

Althea or Simple Cerate. The wound should be
allowed 10 remain with such dressing until gran
ulations form, when its sides should be brought
together by adhesive straps or sutures. when
the pnstule Is situated upon the lip, the hare-lip
suture may be required
IL rarely happens that there Is more than one
pustule, though a surgeon OF Lyons reports case
Of Psstule Malgne on the lip; the patient was
treated, and appeared 10 be doing well, but sud
denly died. Upon post morten examination,
another pustule, similar 20 the FIRST was found in
the transverse arch OF the Colon
The duration Of this disease Is generally from
three to nine days, yet It may prove fatal In less
than forty-eght, and even twenty -four hours.
DR.. Wainwrghts paper, all Of which Is full OF
instruction and interest, closes with account OF
two recent cases which occurred in this city:
1 have been convinced, since this paper was
written, February, 1885, that Pustue Mallgne Is
Of much more frequent occurrence than then
supposed 1t. As this very spring have heard OF
a number OF persons being attacked with malady
that very nearly rescmbled, If Il was not, genuine
cilarbOn.
This disease might be miscalled Malignant Erysi-
pelas. But from Phelgnenous Erysplas (the
only variety with which IL could be confounded)
Il can be distinguished by its superficial origin and
circumscribed appearance. The marked analogy
Ia the several Is most striking, especially the
shooting pains and honey -combod tumor. In fact
The report Of the first OF the following cases
have condensed from a statement kindly prepared
for me by the husband OF the lady, physician of
this city.
FiRsr.--Mrs. s., mother Of family, had been
subject TO attacks of nervous headache, otherwise
had enjoyed good health. For two or three
days previous to the appearance of this disease
she had been confined 10 her bed with a severe
attack Of influenza. She was able, however on
Thursday, October 4, to go out IL was on this
day that abe first noticed small pimple on the
left Of the centre Of the under lip. She said moth
Ing about L. supposing it TO be mere tribe"
The disease continued to advance, though not
rapidly. On Sunday morning, having risen, she
WAS compelled TO retire again. The pain had
extended over the whole scalp and down the back
Of the neck and constant and severe that her
mind began to wander, and so decidedly worse
was she getting as 10 induce closer inquiry as to
the seat aud cause Of the pain, when it was very
clearly traceablc to the pimple on the upper lip,
which had become enlarged to about the size Of
large pea, hard of a purple color and from a CEN
ire slight watery discharge issued. The sensa-
ton was that of constant shooting pains of the
most intense character from this pimple over the
wholes face, head and neck, even down to the
breast; and what was equally remarkable, great
prostratlon Of the vital energies.
I" At this stage of the case, DR.. Hosack was
called, and at once recognised it as Pustule Ma
Igne. As ~ was then mluniBnt, ne deferred Ope-
rating. All the symptoms had greatly aggra-
waited by morning, which induced him to operate
at once 4
He made crucial incision of about eight lines
by six
" After the bleeding ceased, which, however,
was kept up by the application Of warm poultice,
the wound was dressed with a stimulating oint-
ment, 30 AZ to keep up free suppuration for two
or three days. When this ceased, the wound was
drawn together with adhesive straps, and healed
with little or no trace of the incison.
:. The true character of the disease was clearly
shown by the appearance OF the incised surfaces"
SRcoND-H., young man, 20 years of age, on
"Wednesday morning, October IL, 1854, observed
small vesicle ON the upper lip which he opened;
from that time he began TO experience great pan
Ia and around the tumor. The disease continued
rapidly to increase, and the shooting pains were so
severe that lie was not able to sleep that night.
On Thursday morning he took dose of medicine,
but without any relief and in the afternoon his
state SO alarmed the family that they sent for
DR.. Hosack; and in two or three hours after, when
! went with him to assist ut the operation, the
tubercle upon the upper lip had enlarged TO about
the size of a small grape, rendering speaking very
difficult; at the centre IL of dark color and
there a slight discharge of sanies from small
opening nj the apex. The tumor freely d.
vided, and the sides of the incision presented in n
marked degree the honey-conbed appearance of
which have before spoken. This case was treat
ed as were the others, and the patient in about
ten days from the time of the attack, perfectly
we'll