Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fii;. 22S. Figs. 225-228.—Syplulitic Tooth. Various tvpos of lioiodit-tiry syphiliticiooih, as doseiibod by iriitohiiison; also paronohyinatous keratitis. Notethat tho uppor eoiitral inoisors show Iho jHisitivo oviilonoo of syphilis.(Courtesy of Dr. Hugo Nouniami.) 680 THE INFECTIOUS DISEASES. be subjected to specific treatment. Eickets and sypliilis may coexist in thesame case. There is ahnost invariably enlargement at the costochondralarticulations in all cases of rickets^ ^vhich is absent in syphilis/ Prognosis.—This depends upon the condition of the child at the timetreatment is commenced. Such children have very little or no vitality. Hereditanj syphilis can be transmitted to healthy children, so thatthe precaution of strict isolation should be remembered. Treatment.—The therapy of syphilis has undergone a radical changesince the introduction of neosalvarsan. Through the courtesy of Prof.
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Fig. 229.—Congenital Syphilis Before Injection of Salvarsan. (Original.) Ehrlich, I received a liberal supply of neosalvarsan, also known as dioxydi-amidoarsenobenzol or 606. No case should be injected until a positive Wassermann reaction hasbeen obtained. The choice of the technique of the injection is one ofpreference, although the intravenous method seems most popular becauseof better results. The following doses are recommended: For an infant 1year old, an injection of 0.06 gramme, to be followed in one week by aninjection of 0.1 gramme (intravenous method) if no severe systemic reactionfollows the first injection. For a child 5 years old an injection of 0.1gramme, followed one w^eek later by an injection of 0.2 gramme. Complica-tions must be guarded against. When we recall that one-third of salvarsanconsists of arsenic, then the toxicity of the same is well brought out. By theintravenous method we diffuse the efficiency of this drug into the circula-tion and prevent the cumulat

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