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THE SECTIONS.
THE FIFTEENTH INTERNATIONAL CONGRESS OF MEDICINE.
1356
THE
FIFTEENTH INTERNATIONAL CONGRESS OF MEDICINE. Held at
Lisbon, April 19th—April 26th, 1906. THE SECTIONS. MEDICINE.
CAorea considered
as
Cerebral .llfwumatis1n.
first causation beyond the fact that in many instances injury had been either the apparent starting point or had aggravated the malady and that not infrequently it had followed exposure to cold or a chill, in this respect, as well as in the pains which accompanied it, showing an affinity with muscular rheumatism, and more especially in respect of its bony outgrowths with rheumatoid arthritis. Its course was essentially chronic and progressive, though not without periods of remission. It usually began in the muscles of the neck and back, whence it spread gradually to those of the shoulders, chest, and limbs to such a degree that the chest finally became an immoveable cuirass and voluntary movements of the limbs became impossible. The abdominal muscles, however, with the diaphragm and other vital muscles, enjoyed a singular immunity. Visceral and joint lesions were conspicuous by their absence and the general health remained unimpaired. Death was generally brought about by pulmonary complications, aggravated, if not induced, by the crippled movements of the chest walls, or by the sloughing of the tissues over prominent bony outgrowths with sequoias of sepsis. Treatment had been found unavailing even to arrest the progress of the disease. 5uooessful Treatment of the fulminating 11’orn of Appendicitis si?7bqtlating the Onset of a Severe Attaok of Inflitenza or of Acute Pnellmonia by Iron Acetate and
Sir DYCE DUCKWORTH (London) read a communication treating of the above subject. He said that chorea (of Sydenham) was now regarded as a disease caused by an infective agency and not merely as the result of shock or fright occurring in persons of neurotic and unstable temperament. He pointed out that the peccant matter of rheumatism which is now looked upon as of microbic origindiplococcus or streptococcus-is assuredly the most frequent if not the sole cause of the infection. No other microbic element than this diplococcus bad been discovered in those cases of chorea which were believed to be unconnected with rheumatism and independent of rheumatic influence. The infecting agent appeared to be somewhat similar to, but distinct from, other varieties of streptococcus which Belladonna. mark the ordinary forms of pyaemia. Consequently chorea should be considered as a form of rheumatism involving the Mr. HERBERT J. ROBSON (Leeds) read a communication on membranes and cortical structure of the brain and was, in the above subject, in which he pointed out that treatment of fact, cerebral rheumatism. In the pathogeny of chorea pneumonia by the regular administration of iron acetate and there was a neurotic element which predisposed subjects strychnine (in those cases in which the latter drug was to the manifestation of symptoms, among others, of rheu- called for) was indicated in cases of severe bronchomatism. Therefore chorea must be regarded as a neuropneumonia occurring in infants or in children and in humoral disorder. catarrhal and lobar pneumonia occurring in debilitated Myositis 6/M’
1356
THE
FIFTEENTH INTERNATIONAL CONGRESS OF MEDICINE. Held at
Lisbon, April 19th—April 26th, 1906. THE SECTIONS. MEDICINE.
CAorea considered
as
Cerebral .llfwumatis1n.
first causation beyond the fact that in many instances injury had been either the apparent starting point or had aggravated the malady and that not infrequently it had followed exposure to cold or a chill, in this respect, as well as in the pains which accompanied it, showing an affinity with muscular rheumatism, and more especially in respect of its bony outgrowths with rheumatoid arthritis. Its course was essentially chronic and progressive, though not without periods of remission. It usually began in the muscles of the neck and back, whence it spread gradually to those of the shoulders, chest, and limbs to such a degree that the chest finally became an immoveable cuirass and voluntary movements of the limbs became impossible. The abdominal muscles, however, with the diaphragm and other vital muscles, enjoyed a singular immunity. Visceral and joint lesions were conspicuous by their absence and the general health remained unimpaired. Death was generally brought about by pulmonary complications, aggravated, if not induced, by the crippled movements of the chest walls, or by the sloughing of the tissues over prominent bony outgrowths with sequoias of sepsis. Treatment had been found unavailing even to arrest the progress of the disease. 5uooessful Treatment of the fulminating 11’orn of Appendicitis si?7bqtlating the Onset of a Severe Attaok of Inflitenza or of Acute Pnellmonia by Iron Acetate and
Sir DYCE DUCKWORTH (London) read a communication treating of the above subject. He said that chorea (of Sydenham) was now regarded as a disease caused by an infective agency and not merely as the result of shock or fright occurring in persons of neurotic and unstable temperament. He pointed out that the peccant matter of rheumatism which is now looked upon as of microbic origindiplococcus or streptococcus-is assuredly the most frequent if not the sole cause of the infection. No other microbic element than this diplococcus bad been discovered in those cases of chorea which were believed to be unconnected with rheumatism and independent of rheumatic influence. The infecting agent appeared to be somewhat similar to, but distinct from, other varieties of streptococcus which Belladonna. mark the ordinary forms of pyaemia. Consequently chorea should be considered as a form of rheumatism involving the Mr. HERBERT J. ROBSON (Leeds) read a communication on membranes and cortical structure of the brain and was, in the above subject, in which he pointed out that treatment of fact, cerebral rheumatism. In the pathogeny of chorea pneumonia by the regular administration of iron acetate and there was a neurotic element which predisposed subjects strychnine (in those cases in which the latter drug was to the manifestation of symptoms, among others, of rheu- called for) was indicated in cases of severe bronchomatism. Therefore chorea must be regarded as a neuropneumonia occurring in infants or in children and in humoral disorder. catarrhal and lobar pneumonia occurring in debilitated Myositis 6/M’