Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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maternal blood (at any time during pregnane)). The great majority of syphilitic embryos or fetuses areaborted. The few that survive may pass through the syphiliticprocess in utero ( syphilis embryonalis or foetalis) and emerge intothe world either dead or in a shriveled, shrunken, emaciated ordisfigured (hydrocephalus, spina bifida, etc.) condition, and, as arule, succumb soon after birth; or the fetus mav maintain a SYPHILIS. 399 good state of health during intra-uterine life, be born in appar-ently perfect health, and develop the syphilitic manifestationssoon after birth (syphilis neonatorum), or not until several yearsafter (syphilis hereditaria tarda.) Having fully discussed syphilis embryonalis in connectionwith feeble vitality of the newly born (q.v.), we will limit ourpresent remarks to syphilis of the newly born and to late syphilis. SYPHILIS NEONATORUM. As previously alluded to, the infant may at birth appear per-fectly healthy. It may continue to thrive, especially if fed on
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125.—Congenital Syphilis (6 weeks old). Note maculpapular eruption. (Slieffield.) breast milk. Before long, however.—usually after from aboutone week to three months—the clinical aspect changes materially.The baby begins to breathe noisily, especially while it nurses,sniffles, becomes hoarse, or loses its voice entirely. The nurseor the weather is blamed for the babys cold in the head, untilexamination reveals that the syphilitic coryza is associated withswelling of the nasal mucous membrane and occlusion of theanterior nares by a seromucous or serosanguinolent dischargeand incrustation. Inspection of the mouth and throat often dis-closes grayish-white patches (plaques muqueuses) upon themucous membrane of the mouth and pharynx, more rarely papil-lomatous vegetation^, and occasionally edema glottidis, whichlatter may lead to fatal termination. Not rarely the inflamma-tion ol the nasal mucous membrane extends to the nasal Noisy breathing; ozena. M ucmispatches. 400 COMMUNICABLE D

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