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Annals of Ophthalmology (Volume 21)

Annals of Ophthalmology (Volume 21)


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: A FATAL CASE OF STREPTOCOCCIC BACTEREMIA WITH PANOPHTHALMITIS. Howard F. Hansell, M. D., Philadelphia. In April, 1911, a male patient, an iron worker, aged 46, was admitted to the medical ward of the Philadelphia General Hospital suffering with inflammation of knees and ankles of both legs of two days' duration. In twenty-four hours the right eye became injected, he complained of failing vision, and I was requested to see him. He had had the usual diseases of childhood and had recovered from them without sequelae. At the age of 36 he had specific urethritis, but denied syphilitic infection. He had used alcoholic liquors to excess during the past twenty years, and during the last two years has had several attacks of mania potu. During this time he has frequently suffered with rheumatic pains in the larger joints of the extremities, and this was his principal complaint upon admission. The joints were swollen, red and painful. The inflammation of the eye appeared to commence in the iris. The membrane rapidly thickened and exuded a filmy opaque material into the anterior chamber and pupil. The membrane of Descemet was covered with grayish deposit, and the cornea propria was infiltrated and opaque. The injection of the conjunctiva and cornea rapidly increased, tension became high and the eyeball sensitive to the touch. The eye became entirely blind and almost immobile. All the signs of a violent purulent panophthalmitis were present. The left eye remained unaffected. Pus obtained by puncture of the prepa- tellar bursa revealed myriads of streptococci. Blood culture also showed streptococci. The patient's condition became progressively worse and he succumbed at the end of the third day. Postmortem examination showed chronic interstitial nephritis, small and hard liver, ...


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Product Details
  • ISBN-13: 9780217679053
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 300
  • Spine Width: 16 mm
  • Width: 189 mm
  • ISBN-10: 0217679056
  • Publisher Date: 05 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 540 gr


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