File:The British journal of dermatology (1888) (14584638947).jpg

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Identifier: britishjournalof29brit (find matches)
Title: The British journal of dermatology
Year: 1888 (1880s)
Authors: British Association of Dermatology
Subjects: Dermatology Syphilis
Publisher: London H.K. Lewis (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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longated swelling, made up of four smallnodules close together. An inch above this is a small inflammatorynodule. Following up the line of swellings in the forearm from the primary A CASK OK SlOIJOTKICHOKIS. 271 lesion upwards one sees a small red elevation in the lower third ofthe arni to the inside of tiie biceps, and 2 in. liigher a little nodulecan be felt under the skin. Between the nodules can be both felt and seen a hard cord runningup the forearm and uniting the swellings. See Fig. 1. When I saw the boy on the day of his first visit to the AdelaideHospital I made the following note: Lymphangitis: inflammatorynodules running up the forearm joined to each other by a lymphan-gitic cord. An unusual case. * Suspecting sporotrichosis I drew off with a sterilised needle attachedto a sterilised syringe some pus from one of the inflammatory swellingsand introduced this pus into a tube of sloped maltose agar. In aboutsix or seven days a growth appeared—a number of small whitish convex
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Fig. 1. elevations, aptly compared by a nursing sister, Sister Adams, to theappearance of milium. In a few days the culture became brown andfinally black. Subcultures on sloped glucose and maltose agar made by thestroke method yielded after some weeks a typical raised plaited(convoluted) black culture, with delicate radiations into surroundingmedium. The convolutions of the culture resembled somewhat thesandcasts made by worms on the sea-shore (see Fig. 2). Examination of the culture histologically showed the typicalmycelium and spores of sporothrix—mycelium slender, about 2 mm.in diameter, septated and branching, and spores, pear-shaped or oat-shaped, 3-5 mm. in length, attached to and arranged round themycelium, in some places so closely together as to hide the myceliumand form strings or cylindrical masses of about 10 mm. in diameter. 272 A CASK OF SPOROTRICHOSIS. Tliere were many scattered spores detached in tlie process ofpreparation. Prof. J. Alfred Scott kindl\- examined my c

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  • bookid:britishjournalof29brit
  • bookyear:1888
  • bookdecade:1880
  • bookcentury:1800
  • bookauthor:British_Association_of_Dermatology
  • booksubject:Dermatology
  • booksubject:Syphilis
  • bookpublisher:London_H_K__Lewis__etc__
  • bookcontributor:Gerstein___University_of_Toronto
  • booksponsor:University_of_Toronto
  • bookleafnumber:290
  • bookcollection:gerstein
  • bookcollection:toronto
  • bookcollection:medicalheritagelibrary
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28 July 2014

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