abscess of internal capsule

1
705 of manufacturers of " table delicacies" we are face to face with a matter fraught with the gravest possible conse- quences. On the premises of certain dealers were found recently forty-four barrels of livers of various animals, perished, diseased, and rotten, and the slime into which they had liquefied by putrefaction was most offensive. These dealers are described on their business card as "manufacturers of preserved provisions, soups, and all kinds of table delicacies." Of course there was no inten- tion to employ these livers in the manufacture of food for human (or other) consumption, but the association of "table delicacies" and putrid animal organs on the same premises is not a pleasant one. Apart altogether from senti- ment the mischief done might be incalculable. It is well known that putrid meat infusions, and especially putrid animal organs, yield crystallisable bodies of a very deadly nature and comparable to the powerful vegetable alkaloids such as atropine, strychnine, and digitaline. THE DINNER TO PROFESSOR VIRCHOW As our readers are already aware the medical profession has decided to entertain Professor Virchow at dinner. The invitation has now been definitely accepted by the distinguished guest, and already there are 195 names on the stewards’ list of persons desirous of attending to do honour to their great eo-nfrere. The dinner will be held, as previously announced, on Wednesday, Oct. 5th, in the Whitehall Rooms of the Hotel Metropole, with Lord Lister in the chair. There will be accommodation found for about 250 guests, a fact of which those who wish to be present and have not already applied for tickets are reminded. All communications should be made to Mr. Andrew Clark, 71, Harley-street, W., who has undertaken the duties of honorary secretary of the dinner. The inclusive cost of a ticket is ;E1 5s. ABSCESS OF INTERNAL CAPSULE. IN the Biological Section of the Congress of Physicians at Hamburg in June last Dr. Sanger related a case possessing both medical and surgical interest. The patient was a man, aged twenty-eight years, who had previously been in hospital on account of alcoholism and delirium, but who, in May of the present year, sought admission on account of headache, giddiness, and sickness. In May of 1897 he had had double otitis media, and in October his right ear had been operated upon. In December he had had severe pain in the frontal region which had persisted both night and day for some time, but had been relieved by antipyrin and local measures to the ear. On May 12th on admission he was rather stupid with weakness all down the left side, blunting of sensibility, he- mianopia, and tenderness on percussion over the right frontal and temporal regions. There was unsteadiness in walking and even in standing and it was evident that there was a lesion of the binder part of the internal capsule. Trephin- ing was done, but in spite of many punctures no abscess was found. The patient died seven days later and at the necropsy an old abscess was found in the locality indicated. It had so thick and firm a wall that the exploring needle had apparently glided off and failed to penetrate it-a possi- bility in such cases well worthy the attention of surgeons. By Royal Warrant dated India Office, August 26th, 1898, it is announced that Her Majesty has deemed it expedient to alter the ranks of the officers of the Indian Medical Service. The same military titles as those conferred on the officers of the Royal Army Medical Corps are announced for .the officers of the Indian Medical Service. A MOVEMENT has been set on foot to place a memorial window to Principal Caird’s memory in the Bute Hall of the University of Glasgow. We commend the idea to the notice of Glasgow graduates, who should send their contribu- tions to Mr. Archibald Craig, of 156. St, Vincent-street, Glasgow. - THE Lord-Lieutenant of Ireland has appointed Mr. John Lentaigne, F.R.C.S.I., to be surgeon to the household in the room of Mr. Thomas Nedley, M.D. Aberd., F.R.C.S. Irel., resigned. - PROFESSOR CORFIELD has, we regret to learn, sustained a fracture of one of the metacarpal bones of the left hand by a blow from a golf-ball. - DR. KESER, Physician to the French Hospital and Dis- pensary, has been made a Knight of the Legion of Honour. TYPHOID FEVER IN BELFAST. THE main discussion at.the meeting of the city corpora tion of Belfast on Sept. lst was the present increased pre- valence of typhoid fever. The report of the medical officer of health brought out the serious fact that between July 17th and August 20th 1052 cases of zymotic disease had been notified and of these 784 were typhoid fever. Since the notification of the Infectious Diseases Act came into force the number of cases of typhoid fever notified has been as follows :-1897 : March, 215 ; April, 289 ; May, 517 ; 8 June, 262 ; JuJy, 179 ; August, 304 ; September, 379 ; October, 354 ; November, 351 ; and December, 273. 1898: January, 288 ; February, 222 ; March, 345 ; April, 469 ; May, 254; June, 327; July, 226; and August, 784 (five weeks). These figures show that, as THE LANCET Special Sanitary Commissioner in his reports on Belfast has pointed out, typhoid fever in that city is really endemic and that the present state of affairs is net an epidemic but simply an exacerbation of the normal condition. It is interesting to note that while the number of cases of typhoid fever has more than doubled (comparing August, 1898, with the same month in 1897), the number of deaths from all zymotic diseases is less by 25 per cent. In the face of the present deplorable state of affairs we are glad to say that the Public Health Committee have decided :-1. To appoint Dr. Lorrain Smith to examine bacteriologically all samples that the medical officer of health considers necessary for the purpose of investigating the cause of the fever. 2. They have decided to establish refuse destructors which should have been in use many years ago. 3. They reoom- mend that proceedings be taken against each individual owner of houses which are not supplied with water-closets and have not back passages by which offensive material can be removed, and also to compel the provision of water-closets in place of privies. It is a most extraordinary circumstance that the corporation ever should have passed the plans of houses without back passages. 4. Each member of the corporation is to be supplied with a copy of a return of the piggeries kept in the city of Belfast and the number of pigs kept and where they are or are not kept in accordance with the by-laws. Further, the chairman of the Town Improvement Committee announced that after Sept. 5th building inspectors would test all drains of houses before they were passed. It appears that hundreds of new houses, as stated by members of the corpora- tion, were passed without the ordinary test. Councillor O’Neill, M.D. R.U.I., said that he did not want to make out things blacker than they were-they were quite black enough in the city-but he considered it a matter of urgency that there should be an investigation of the drains of all the houses built within the past five years. Typhoid fever was now so prevalent because," he said, they had laid the means of breeding it. They had allowed matter containing the germs of the disease to be sown broad- cast and now they attributed to a visitation of Providence what was really due to a want of visitation by the sanitary inspectors." We give the Public Health Committee every credit for the exertions they are now putting forth, but they

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Page 1: ABSCESS OF INTERNAL CAPSULE

705

of manufacturers of " table delicacies" we are face to facewith a matter fraught with the gravest possible conse-

quences. On the premises of certain dealers were found

recently forty-four barrels of livers of various animals,perished, diseased, and rotten, and the slime into which

they had liquefied by putrefaction was most offensive.These dealers are described on their business card as

"manufacturers of preserved provisions, soups, and all

kinds of table delicacies." Of course there was no inten-

tion to employ these livers in the manufacture of food

for human (or other) consumption, but the association of"table delicacies" and putrid animal organs on the samepremises is not a pleasant one. Apart altogether from senti-ment the mischief done might be incalculable. It is wellknown that putrid meat infusions, and especially putridanimal organs, yield crystallisable bodies of a very deadlynature and comparable to the powerful vegetable alkaloidssuch as atropine, strychnine, and digitaline.

THE DINNER TO PROFESSOR VIRCHOW

As our readers are already aware the medical professionhas decided to entertain Professor Virchow at dinner.The invitation has now been definitely accepted by thedistinguished guest, and already there are 195 names on thestewards’ list of persons desirous of attending to do honourto their great eo-nfrere. The dinner will be held,as previously announced, on Wednesday, Oct. 5th, in theWhitehall Rooms of the Hotel Metropole, with Lord Listerin the chair. There will be accommodation found for about

250 guests, a fact of which those who wish to be presentand have not already applied for tickets are reminded.All communications should be made to Mr. Andrew Clark,71, Harley-street, W., who has undertaken the duties of

honorary secretary of the dinner. The inclusive cost of a

ticket is ;E1 5s. ___

ABSCESS OF INTERNAL CAPSULE.

IN the Biological Section of the Congress of Physiciansat Hamburg in June last Dr. Sanger related a case possessingboth medical and surgical interest. The patient was a

man, aged twenty-eight years, who had previously beenin hospital on account of alcoholism and delirium, but

who, in May of the present year, sought admission on

account of headache, giddiness, and sickness. In Mayof 1897 he had had double otitis media, and in Octoberhis right ear had been operated upon. In Decemberhe had had severe pain in the frontal region whichhad persisted both night and day for some time, but

had been relieved by antipyrin and local measures to theear. On May 12th on admission he was rather stupid withweakness all down the left side, blunting of sensibility, he-mianopia, and tenderness on percussion over the right frontaland temporal regions. There was unsteadiness in walkingand even in standing and it was evident that there was alesion of the binder part of the internal capsule. Trephin-ing was done, but in spite of many punctures no abscess wasfound. The patient died seven days later and at the

necropsy an old abscess was found in the locality indicated.It had so thick and firm a wall that the exploring needlehad apparently glided off and failed to penetrate it-a possi-bility in such cases well worthy the attention of surgeons.

By Royal Warrant dated India Office, August 26th, 1898,it is announced that Her Majesty has deemed it expedientto alter the ranks of the officers of the Indian MedicalService. The same military titles as those conferred on theofficers of the Royal Army Medical Corps are announced for.the officers of the Indian Medical Service.

A MOVEMENT has been set on foot to place a memorialwindow to Principal Caird’s memory in the Bute Hall ofthe University of Glasgow. We commend the idea to thenotice of Glasgow graduates, who should send their contribu-tions to Mr. Archibald Craig, of 156. St, Vincent-street,Glasgow.

-

THE Lord-Lieutenant of Ireland has appointed Mr. JohnLentaigne, F.R.C.S.I., to be surgeon to the household in theroom of Mr. Thomas Nedley, M.D. Aberd., F.R.C.S. Irel.,resigned.

-

PROFESSOR CORFIELD has, we regret to learn, sustained afracture of one of the metacarpal bones of the left hand bya blow from a golf-ball.

-

DR. KESER, Physician to the French Hospital and Dis-pensary, has been made a Knight of the Legion of Honour.

TYPHOID FEVER IN BELFAST.

THE main discussion at.the meeting of the city corporation of Belfast on Sept. lst was the present increased pre-valence of typhoid fever. The report of the medical officerof health brought out the serious fact that between July 17thand August 20th 1052 cases of zymotic disease had beennotified and of these 784 were typhoid fever. Since thenotification of the Infectious Diseases Act came into forcethe number of cases of typhoid fever notified has beenas follows :-1897 : March, 215 ; April, 289 ; May, 517 ; 8June, 262 ; JuJy, 179 ; August, 304 ; September, 379 ;October, 354 ; November, 351 ; and December, 273.1898: January, 288 ; February, 222 ; March, 345 ; April,469 ; May, 254; June, 327; July, 226; and August, 784(five weeks). These figures show that, as THE LANCET

Special Sanitary Commissioner in his reports on Belfast haspointed out, typhoid fever in that city is really endemic andthat the present state of affairs is net an epidemic butsimply an exacerbation of the normal condition. It is

interesting to note that while the number of cases of

typhoid fever has more than doubled (comparing August,1898, with the same month in 1897), the number of deathsfrom all zymotic diseases is less by 25 per cent. In the faceof the present deplorable state of affairs we are glad to saythat the Public Health Committee have decided :-1. To

appoint Dr. Lorrain Smith to examine bacteriologically allsamples that the medical officer of health considers necessaryfor the purpose of investigating the cause of the fever. 2.They have decided to establish refuse destructors whichshould have been in use many years ago. 3. They reoom-mend that proceedings be taken against each individualowner of houses which are not supplied with water-closetsand have not back passages by which offensive material canbe removed, and also to compel the provision of water-closetsin place of privies. It is a most extraordinary circumstancethat the corporation ever should have passed the plans ofhouses without back passages. 4. Each member of thecorporation is to be supplied with a copy of a return of thepiggeries kept in the city of Belfast and the number of pigskept and where they are or are not kept in accordancewith the by-laws. Further, the chairman of the Town

Improvement Committee announced that after Sept. 5thbuilding inspectors would test all drains of housesbefore they were passed. It appears that hundreds ofnew houses, as stated by members of the corpora-tion, were passed without the ordinary test. CouncillorO’Neill, M.D. R.U.I., said that he did not want tomake out things blacker than they were-they were quiteblack enough in the city-but he considered it a matterof urgency that there should be an investigation of thedrains of all the houses built within the past five years.Typhoid fever was now so prevalent because," he said,they had laid the means of breeding it. They had allowedmatter containing the germs of the disease to be sown broad-cast and now they attributed to a visitation of Providencewhat was really due to a want of visitation by the sanitaryinspectors." We give the Public Health Committee everycredit for the exertions they are now putting forth, but they