The Vegetable Parasites of the Human Skin
Authors: J. Hogg
Journal: BMJ (1859)

had no sleep that night; the tongue next day was moist, but inclined to be brownt; the pulse was regular, but feeble; he perspired freely.He complained of great pain, extending from the back down to the hip, which he described as " like a knife stabbing him".May 22nd.He had had no sleep, and had vomited several timiies during the night.The bowels had not acted.Soda water and brandy was'given.He continted to getworse dtring the next four dnys.The countenance became haggard; he was half in- sensible; the tongue brown and dry; the skin hot anad parched; the breathing somewhat hlurried.He complained of pain in the reg,ion of the kidneys, and the water contained blood.He could get no sleep witlhout large doses of opium.Nourish- ment was freely given, and his sufferings were somewhat alle- viated by opium; but he sank fronm day to day, an(d died on May 31st, the eleventh day after the accident.On post mortem examination, the body of the twelfth dorsal vertebia was found crushled, separated into two parts, and torn awav from that of the eleventh.The arches also were l)roken.The parts were quite moveable; but there was not nmuclh displacement, as the anterior common ligamlent was still entire.The medullawas cruslhed,inflamed, and soft opposite the injured vertebra.The lungs, kidneys, and peritonieum, wvere lhealtlhy.Tlhe bladdler was muchl inflamed, ulcerated iin parts, and covered with phosplhates.CASE V. Fracture of the Spine about the Elevenith Dorsal Vertebra: Recovery.John P., aged 29, a labourer, was ad- mitted under the care of Mr. Birkett on November 26th, 1858.He was a healtlhy man, and not addicted to drinking.He was working in the lhold of a ship, and, while in a stooping position, and attempting to lift a sack, another lheavy sack, weighing about 2l cwt., fell from a height of eiglt or nine feet, strikina him on the loins, and throNving him down.The head was not struck.On attempting to rise, he found that he had no use of his lower extremities, and could not feel his legs at all.Oni admzission, he was perfectly paralysed in the lower ex- tremities, and complained of paini in the loins and nates.The right lknee was contused, swollen, anid painiful on pressure.There was either absolute or comparative hypercesthesia in the wvhole of the right leg, it being very sensitive to the least irritation, such as sligltly p)ulling the hlair upon it.The left leg hiad no sensation in it.He was obliged to have his water drawn off, but could retain hiis motioIns.He was quite sensible.Goulard lotion was applied to the knee.Bleef-tea and arrow-root were given.Next day, there was a little imiore sensation in the left le-, and the rialht was not quite so sensitive: indeed, the iDjurv to the knee seemed quite suffi- cient to accouint for any excess in senisation.He had not slept duriing the n-ight.The pulse was quiet; the tongue clean.There was mluch thirst.He was conscious of the bladdel being full, but unable to pass water.The urine was ammloniacal, and rather thick from admixtuire of mucus.The calf of the light leg was very tender, owing to a varicose veiii.Parasite.Porrigo favosa Tiniea favosa.Favus.Achorion and lupinosa.