a case of hysteria following typhoid fever
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cases ; and, concluding that erysipelas is antagonistic todiphtheria, he began to inoculate patients suffering fromthe latter with the bacteria of the former disease. Theinoculation succeeded nearly always, and was performed bymeans of punctures in the submaxillary region. Of fourteeninoculated patients two died before the development of theerysipelas, but all others recovered. The patients took nomedicine whatever, but the houses in which they lived werecarefully disinfected. In every case in which erysipelas super-vened spontaneously on diphtheria, the latter disease wasmild and the erysipelas was not of a dangerous character.
LEAD IN DRINKING WATER.
THE occurrence of lead in drinking water is not so rare athing as is generally supposed. The symptoms of chroniclead poisoning are, however, so characteristic that a
moment’s consideration will soon indicate the possible sourceof the evil, and in many cases the examination of the waterused for drinking purposes will probably settle the questionA simple method for the rapid and easy detection of leadin potable water, and within the reach of the medical officerof health and others generally, will be welcomed. Such amethod is that which was introduced to the notice of the
Society of Public Analysts, at their meeting last month, byMr. Sidney Harvey. It depends upon the fact that thetreatment of lead salts with bichromate of potassium resultsin the formation of the remarkably insoluble yellow chromateof lead. The following is the modus operandi directed. Twograins of crystallised bichromate of potassium are added tohalf a litre of the suspected water contained in a conicalprecipitating glass, and after stirring allowed to remainat rest for fifteen minutes or so. Side by !-ide with this,for the sake of comparison, is placed a similar vessel con-taining lead-free water, to which bichromate has alsobeen added. If the water, so the author affirms, containsas little as one-fiftieth of a grain of lead per gallon, it willbecome sensibly turbid, and in about twelve hours the pre-cipitate will so subside that the water may be poured offnearly to the last drop. The blackening produced whensulphuretted hydrogen is added to water containing lead is,of course, well known as a test; but this might possibly bedue to copper or tin, both of which give the same effect.No other metal likely to be present in water is said to giveany reaction with bichromate of potassium. If the water isnot clear, obviously filtration must be first resorted to. Asa rule, lead is commonly found in very soft water as hydratedoxide, or in soft water containing much carbonic acid gas ascarbonate, but scarcely ever, if at all, in water containingsulphate or silicate. -
A CASE OF HYSTERIA FOLLOWING TYPHOIDFEVER.
PROFESSOR GRASSET of Montpellier has recently recordeda well-marked instance of this condition occurring in a girltwenty-three years of age, who until then had shown nosigns of hysteria. She had passed through a mild attackof typhoid fever and was convalescent, and allowed to getup daily, when she was suddenly attacked with completeparaplegia. This was considered to be " hysterical " incharacter because of the coexistence of the following sym-ptoms : a number of persistent stigmata, incomplete lefthemianassthesia, absence of the pharyngeal reflex, and con-traction of both fields of vision. A month -later completeaphonia was developed. The diagnosis of hysteria wasverified a few days later by the patient suddenly recoveringher voice and the power over her legs, so that in a few daysshe was able to leave the hospital in perfect health. Asimilar case is quoted from Trousseau. A patient of his,twelve years old, was attacked with paraplegia during
convalescence from typhoid fever, and all treatment waswithout benefit, until one day she was accidentally lockedin her bedroom. When the nurse returned she found the
patient standing at the door, having walked without muchdifficulty from her bed to try to open it. In neither ofthese cases had there previously been any tendency tohysteria.
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BENEVOLENCE OR BUSINESS IN THEPROMOTION OF HOSPITALS.
AN evening contemporary comments with not undue
severity on a proposal to publish abroad the virtues ofShanklin as a health resort, emanating from a publicmeeting of the inhabitants. The most brilliant idea of the
evening was to the effect " that the best way to keepShanklin going was to start a children’s hospital; the bestway to increase the growth of Shanklin was to get in withthe great physicians!" It was unanimously resolved to
form a committee, having for its object the formation of ahospital. Many hospitals have had no better beginningthan the proposed good of some person or place. Bat thereis here a delightful openness of admission that the objectof the promoters is the benefit of Shanklin, and that thebenefit of children is a mere means to an end.
TRACHEOTOMY IN BRUSSELS.
La Clinique publishes an account of 101 tracheotomieswhich have been performed for croup in the St. Pierre
H6pital during the four years ending Dec. 31st, 1889. Thenumber of recoveries was twenty-eight. Of the 16 casesunder the age of two years only one recovered. In mostof the fatal cases the false membranes extended alongthe bronchi to the smaller branches, death usuallyoccurring on the third or fourth day. The tube was
generally removed about the fourth day for a few hours inthe cases that were doing well, and after a few more daysit was dispensed with altogether. Local antiseptics werealways used-nasal injections, painting the throat, andspray. Generally chloroform was administered, so that theoperation could be performed deliberately. Of course it
very usually happened that the child was not brought tothe hospital until it had reached the third or final stage ofthe disease, and the operation was usually performedwithin two hours after admission.
THE CORPORAL PUNISHMENT BILL.
THE new Bill relating to corporal punishment, which hasast passed a second reading in the House of Co mmons, wilbe generally regarded as a needed and reasonable additionto the penal code. Briefly stated, it provides for the
punishment of some youthful delinquents under sixteenyears of age by means of a somewhat severe birching, and asimilar but more vigorous chastisement of the same kind,to be repeated if advisable, for adult males convicted ofcertain specified offences. These are violent attempts toinjure or alarm the Queen, various forms of robbery withassault, or where dangerous or offensive weapons are carriedby the culprit, and a variety of indecent offences, for themost part suggesting or implying the use of violent com-pulsion. A surgeon is in all cases to attend in order to
regulate the application of the penalty. There are some
persons, doubtless, who could not be induced under anycircumstances to see the justice or necessity of inflictingon adult offenders or even on boys an ordinary whipping.Their error, for such we consider it to be, must at least beallowed the merit of generosity ; but in this very merit lies, its unwisdom. It arises from a mistaken willingness toconfer on any miscreant, however hardened, the credit of