Identifier: medicaldiseaseso00will (find matches)
Title: Medical diseases of infancy and childhood
Year: 1900 (1900s)
Authors: Williams, Dawson, 1854- (from old catalog) Churchill, Frank Spooner, 1864- (from old catalog) ed
Subjects: Children
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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m paroxysmal cough with slight chronic l)ron(hitis. This is ))ar- jticularly the case in the winter and spring seasons, during which I cough and bronchitis are apt to persist until the weather becomes : lial. Many cases of chronic winter bronchitis in children date II an attack of whooj)ing-cough. The most important ronij/fim- lifii is broncho-pneumonia (f/. v.), which is the cjiuse of the great mor- tality attributable to whof>ping-cough, and is seldom absent in fatal ;cases. Broncho-pneumonia comes on usually during the early part 118 ACUTE SPECIFIC INFECTIOUS DISEASES. of tlio paroxysmal stage, and its onset is attended by sudden rise oftenii)crature dyspncea, and nsnally by cessation of the paroxysmalcough and whoop. Tracheitis and bronchitis are present to some ex-tent in most, if not in all, cases of whooping-cough. The bronchitisis sometimes very extensive, and is then a serious menace to life, notdirectly so much as by the extra strain it puts upon the heart already Fig. 8.
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Paralysis of the Sixth and Seventh Cranial nerves coming on during Whooping-Cough, and dueprobably to limited hiemorrhage into the Pons (Dr. Craigs case, Brit. Med. Journ., 1896, vol. i., p-1440). strained by the congestion of the right side produced by the parox-ysms. In such cases the dyspncea may be extreme, the face livid orpurple and swollen. In slight cases there is pallor and cedema ofthe low^er eyelids. The diagnosis of a well-marked case of whooping-cough during theparoxysmal stage is easy, since the paroxysm of coughing .ending inthe high-pitched whoop is characteristic. The only condition which ii WHOOPiyG-CO VGH. 119 resembles it nearly is that paroxysmal cough and inspiratory stridorproduced by enh\rgoment of the trachco-bronchial ghinds (<y. r.). Dur-ing the catarrhal stage, however, diagnosis may be impossible, unlessthe child is known to have been exposed to inftvtion. If there bemuch broncho-pneumonia the paroxysms and whooping usuallv donot appear, or are suspende

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