LYMPHADENITIS IN VARICELLA.

888 While admitting thatt coryza, particularly in inflammation of the posterior part of met with in only ten cases. the results obtained fiom a study of these 183 casess the nose, while the latter are enlarged when the nasoare not sufficiently large to enable final conclusions to) pharynx is affected. The association is so constant that be drawn, Professor Thayer points out that "the fact thatt when there is painful pre-auricular adenitis he infers that these 183 old typhoids are materially older from a point off there is "posterior coryza." The following case is given view of their heart and arteries than the average individual1 to show the value of this lymphadenitis in the diagnosis of who has not had typhoid fever would tend to support the varicella. A youth, aged 17 years, was feverish but the only view of those who regard this disease as an active elementb other symptoms were lassitude and headache. Pre-auricular in the etiology of a considerable number of cases of cardiac} and mastoid adenitis was well marked, the glands were hypertrophy and dilatation." Such changes coming on in small and painful, the pharynx and pillars of the fauces were early adult life are of grave prognosis, especially if an asso- cherry-red, and deglutition was painful. No trace of an ciated state of arterio-sclerosis is developed, since both eruption could be found on the body. As an epidemic of physical and mental energy and capacity for work tend to influenza prevailed at the time that disease was diagnosed. be impaired prematurely. The patient complained of slight coryza and the conjunctiva on the lower eyelids was a little red, but on the following THE CONGRESS OF OPHTHALMOLOGY AT day the eruption of varicella appeared and there were several LUCERNE. spots on the pillars of the fauces. In three other cases out A FEW modifications have been made in the original of 15 Dr. Lamacq-Dormoy observed enlargement of the preauricular and mastoid glands two or three days before the programme of the Tenth International Congress of Ophthalmology to be held at Lucerne next September and the appearance of the eruption. He found this lymphadenitis attention of intending visitors is particularly directed to a constant in 15 cases of varicella. The position of the first glands enlarged showed that the eruption began thrice in the alteration of the date of It is now .

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that the official reception of members will take place on naso-pharynx. the evening of Sept. 13th; the mornings and afternoons THE POPULATION QUESTION IN FRANCE. of the 14th, 15th, and 16th will be devoted to scientific work and on the 17th an excursion will bring UNDER the auspices of the Revue Scientifique M. Paul the Congress to a close. Papers to be discussed have to Strauss, a member of the French Senate, recently delivered be printed and sent beforehand to all the members of the an address dealing with the conditions upon which depends Congress. It is therefore requested that the manuscripts of the high infantile death-rate which is one of the factors such papers may be sent by May lst at the latest to Professor accounting for France’s diminishing population. He stated Mellinger, Basle, Switzerland. The first part of the proceed-that one-sixth of the total mortality occurs in children ings of the Congress containing these works will be sent to between the ages of one day and one year and that every the members at the same time as their tickets after receipt year, apart from the secret practice of abortion the influence of the subscription (25 francs). Objects of ophthalmologicalof which on the birth-rate is difficult to estimate, 100,000 interest, whether practical or historical, such as instruments,embryonic existences were cut short or resulted in the probooks, or illustrations, intended for the exhibition in con-duction of infants who died immediately after birth. At the nexion with the Congress should be notified before July lstinstigation of Professor Pierre Budin, Dr. Balestre and Dr. to Professor Siegrist, Berne. Visitors wishing to secure hotel Gilletta ( de Saint Joseph have investigated the causation of accommodation at Lucerne beforehand are invited to applydeath ( in the cases of 1000 infants dying in their first year. before Sept. lst to Dr. F. Stocker, president of the local com-The figures are as follows : from diarrhoea or gastro enteritis, mittee,at Lucerne. Further information can be obtained385; from congenital debility, 170 ; from disease of the *. from the correspondents for the United Kingdom—Mr.y respiratory organs, 147; from tubercle, 24; from contagious W. H. H. Jessop, 73, Harley-street, London, W. ; Dr. Georgedisease, 49 ; and from other causes, known or unknown, 225. Mackay, 20, Drumsheugh-gardens, Edinburgh; and Mr. The diseases enumerated are to a large extent preventable, so H. R. Swanzy, 23, Merrion-square, Dublin.that which t there is here clear indication of the -

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LYMPHADENITIS IN VARICELLA. IN the Gazette Hebdomadaire des Sciences Médicales de Bordeaux of March 6th Dr. Lamacq-Dormoy has pointed out a symptom of varicella which does not appear to have received any attention-viz., enlargement of lymphatic glands. It occurs at the same time as the eruption and the more abundant the eruption the greater the number and size of the enlarged glands. They are found both in the axillee and in the groins. The facial eruption causes enlargement of the pre-auricular and parotid lymphatic glands. The glands are sometimes considerably enlarged ; in the axilla they may attain the size of a walnut. They are soft and distinct from one another but sometimes they are united into a group by the surrounding congested cellular tissue. They are always tender and sometimes are painful. They subside at the same time as the eruption but if a secondary inflammation is produced by scratching the enlargement may persist and the glands become more painful and hard. The mastoid and pre-auricular glands are constantly enlarged, sometimes before the appearance of the eruption, but then the enlargement is at its minimum and the glands are not larger than lentils. Dr. Lamacq-Dormoy has for several years habitually examined the pre-auricular and mastoid glands and finds that the former are always enlarged in

improvement might be effected by greater attention to hygienic considerations. Speaking of the dangers to the life of the child which

incidental to the time of birth M. Strauss referred more to cases of two kinds-namely, those of girlp particularly mothers and those of married women of the labouring classes. n F the former he advocated the establishment of asylums For w where confinements might take place secretly and where, if tl the mother so desired, the child might be left behind. ’A Whatever its intrinsic merits the suggestion is not one likely tc meet with much sympathy in this country where it to w would probably be regarded as a direct encouragement to it immorality but perhaps the French people know their own business best. As regards labouring women, stress was laid upon the necessity of securing ample rest on the part of the mother both before and after parturition. Some of figures compiled by Professor Pinard and his pupils are of interest in this connexion. A number of infants be born in maternity homes of mothers who ’had been for so some time resting were compared as to their weight at bi birth with those of women who had pursued their ordinary av avocations up to the last moment and were found to be on ar average 200 grammes heavier. an Similar observations by M Bachimont on 4445 cases at Tourcoing gave an average of M. 22 grammes in favour of the children born in hospital. While 220 in most European countries it is recognised how advisable it a are