Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.9 Malignant Pustule

Malignant Pustule.

THIS is one of the five diseases which man may take from animals.
The other four are the cow pox, hydrophobia, glanders, and malignant carbuncle. This last is what the French call charbon, pronounced sharbo. My own mother and elder brother came near losing their lives by it, having taken it by handling the flesh and tallow of a dead cow.
Malignant pustule begins with a water pimple, not bigger than a millet seed. Underneath it is a hard point, surrounded with redness, like a flea bite. This hardness is soon attacked by mortification, which spreads on all sides, and kills everything as it goes. Next, in fatal cases, come great restlessness, faintings, sunken countenance, dry skin, dry brown tongue, despondency, delirium, and death. It is supposed generally not to arise from constitutional causes, but to be produced by a specific poison or bacterium applied to the skin, or by eating the flesh of cattle which die of gangrenous diseases. The disorder is probably the same as the malignant carbuncle.

Treatment. Deep incisions, and the application of the most powerful caustics, as the caustic potash, etc., and tincture of peruvian bark, quinine, aromatic sulphuric acid, wine, ether and opium. Probably the best treatment is to surround the pustule with a thick layer of ointment; then to fasten some lint to the end of a stick, wet it with nitric acid, and press it upon the pustule. Now apply cloths, wet with cold water, and when the slough comes off, dress with simple ointment, or touch occasionally with weak solution of nitrate of silver (211). When once opened it should be thoroughly irrigated with disinfectants like corrosive sublimate, in strength of 1 part to 2000 solution.

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