General Chat

it has finally arrived cause of death which I hope I have read right is Searlatina Maligna 3 days certified what is that ??? is it a cancer ???

I think it could be scarletina which I think is something akin to scarlet fever! Could be wrong though! Julie xxx

scarlatina maligna a malignant form of scarlet fever it is associated with imlammation of the bowel Bev

Just looked on google - could it be scarletina Meligna? Regards Ellen

Just foudn this. Scarlet Fever. Scarlatina Maligna.—Some seasons, for reasons unaccountable, scarlet fever appears in a malignant form. Such an epidemic occurred in the winter of 1879 Germaine x

this was in 1864 so I suppose that could be it , what a horrible death

We may divide this variety into two forms,—the nervous, and the excessively toxic. In the first form the child is suddenly stricken; the chill is short and the febrile reaction extreme. The skin is intensely hot, dry, and pungent; the mouth is dry and parched; the eyes are brilliant and burning; the face is turgid; the head is hot and painful; the throat becomes dry, tumid, and swollen; the patient is restless and delirium early ensues. There is nausea and vomiting of a persistent character; convulsions are the rule. Within twenty-four hours the intense excitement gives away to stupor. The child lies with the eyes partly open, the pupils are dilated, the surface seems dusky and swollen, the temperature reaches 104° to 105°, the pulse ranges from 160 to 170 beats per minute, and within thirty-six to forty-eight hours death ends the scene. In this case, if the eruption appears, it is a dingy red, and appears slowly, though the patient may succumb before it shows itself upon the surface. In the second form, the disease is but little less fatal, though not so rapid. There is great prostration from the beginning. The chill is greatly prolonged, febrile reaction coming up slowly, the evidence of extreme sepsis being seen from the beginning. The child is dull and stupid, and the countenance vacant and besotted. The face is dusky or turgid and the heat of the body pungent, though the extremities are inclined to be cold. The tongue is broad and heavily coated, or dry and parched. Nausea and vomiting frequently occur, and diarrhea is common. The urine is highly albuminous. The throat affection is characteristic; at first dry and tumid, it soon shows a dirty, moist exudate, so that it is not infrequently taken for diphtheria. The deeper tissues become infiltrated, and a foul phagedenic ulceration is seen. The nares becomes involved, and an acrid secretion is discharged. As the sepsis increases, a cellulitis develops, the cervical glands enlarge, the neck becomes greatly swollen, extending in some cases beyond the ears. The eyes are glued together with a brownish secretion, while the ears discharge the same characteristic material. The system seems to have more of the poison than it can carry, and the overflow escapes by way of the orifices. The cervical glands suppurate, and a disgusting, pultaceous abscess is the result. The extremities become cold, the pulse is small, weak, and rapid, the mind is dull, coma comes on, and the child dies from toxemia. The eruption, when it makes its appearance, is of a dull, dusky red color. Sometimes it appears as petechise, which, enlarging, form ecchymotic patches. At other times it appears the second or third day, only to remain a few hours, when there is a retrocession of the eruption. Desquamation.—From six to ten days after the eruption first makes its appearance, desquamation begins. The eruption fades, the skin becomes dry and constricted and is shed in the form of dry, bran-like scales. Sometimes it comes off in large flakes or even in ribbon-like strips a foot or more in length, and in rare cases, where the epidermis is thick, like on the hand or foot, a complete cast of the member is shed. Desquamation lasts from ten days to ten weeks. Complications.—In scarlet fever, diphtheria, measles, and influenza, the middle ear is often affected by extension through the Eustachian tubes and the process may also affect the labyrinth. In quite a number of cases the labyrinth is affected directly by the systemic poison, the middle ear escaping any morbid inflammation whatever. (Foltz.) Respiratory Apparatus.—The inflammation may pass from the throat to adjacent parts of the respiratory apparatus, and bronchitis or broncho-pneumonia may render the disease still more serious. Nephritis is a very common complication, though more frequently it is one of the sequelae. Post Scarlatinal Nephritis is the most serious of all the results of scarlet fever. This may occur from the first to the fourth week after convalescence, though many times it comes on so insidiously that it is difficult to trace its beginning. Albumen is found in the urine, and the child is inclined to be dull and lifeless. The skin is dry and more or less constricted, the pulse small and wiry, the tongue dry and fissured, the face puffy, and the feet edematous. There is pain in the back and loins, the urine is scanty and high colored. If the treatment be successful, the urine increases in quantity, is light in color, the skin becomes moist, and soon convalescence is established. In the graver cases, however, the dullness increases to coma, the pulse becomes small and feeble, the extremities are kept warm with difficulty, the temperature is sub-normal, the. tongue is dry and brown, nausea and vomiting ensue, and diarrhea is not uncommon. Hemorrhages may occur from the mucous surfaces, and muscular twitchings announce the approaching convulsion which often terminates the attack. During the course of inflammation of the kidney there is a tendency to cardiac changes. Dilatation of this heart, or endocarditis, or pericarditis may so weaken the heart that death may occur suddenly and when least expected. Ear Complications.—One of the serious results of scarlet fever is deafness. The inflammation extending along the Eustachian tube is followed by suppuration and perforation of the membrane. A mastoid abscess is not infrequent. The patient may be left with a fetid discharge from the ear. Diagnosis.—The diagnosis of scarlet fever is usually, readily made by the rose-colored efflorescence upon which are the innumerable small red points. The eruption is readily effaced by pressure, which leaves a white mark for several seconds before the redness is re-established. The characteristic sore throat and the strawberry tongue are also suggestive. Belladonna produces a scarlatinal rash, but the history and absence of sore throat will enable one to avoid a mistake in diagnosis. It is distinguished from measles by the absence of catarrhal symptoms and by the irregular eruption commencing on the face and occurring in blotches. Prognosis.—The prognosis will depend largely upon the character of the epidemic, the previous health and age of the patient, and the complications which may attend the attack. Thus in scarlatina simplex, the prognosis will be favorable, every patient recovering, while the epidemic may show such intense malignancy that nearly every case may prove fatal. For example, in the winter of 1879 in the village of Harrison, Ohio, containing two thousand inhabitants, nearly every child who contracted the disease died. The prognosis is more unfavorable among infants, where nephritis occurs, and where there are cardiac changes. The older the patient the more favorable, the prognosis being just the reverse of measles. Treatment.—Prophylaxis.—As this is one of the most contagious of all the eruptive fevers, and also the most serious, great care must be exercised to exclude the well members of the family. The child should be isolated and all intercourse with the patient prohibited. All upholstered furniture and unnecessary draperies, as well as carpets and rugs, should be removed from the sickroom. The nurse should not mingle with the family, and all clothing worn by the nurse and patient, together with the bed linen, should be thoroughly disinfected before others come in contact with the sick-room. During the period of desquamation the patient may be anointed daily with olive-oil, after sponging with warm water and asepsin soap. The rooms should be thoroughly aired each day, care being taken that no draughts be allowed on the patient. As a prophylactic, the members of the family who have been exposed may take belladonna, although it is questionable whether it possesses the virtue attributed to it as a preventive of the disease. Dr. Webster suggests 'the u

It was a particularly virulent form of Scarlet Fever which was generally fatal. Pete

found the above on google not pleasent, poor child Bev

thanks for that info Bev poor kid I hadnt realised that it could be that bad

nudging for anyone who hasnt seen this

what a awful thing that poor child had to go through, its heart breaking. Julia

That is so heartbreaking. Does the three days mean he was suffering for three days before dying. How old was he?? Dianex

poor wee lamb

Are you going to get in touch with Jane Horrocks and tell her ? or are you happy now your curiosity has been satisfied ?

poor little fella!! Scarlet fever is evil let alone in this form!! xx

Diane he was aged 3 he was a relation of Jane Horrocks, and Margaret as she wasnt interested enough to find out herself I dont think I shall bother, it was more out of my curiousity than anything because I am NOSY

Bless him x

I never thought I could feel so sad about the loss of a little one I never knew and wasn't related to. Poor little chap.

Jayvee I got some stick for even sending for the death cert in the first place, but like you I too kept upset about people I never even knew, but sometimes wish I had known.