Ingleby, I select the following. Two
gentlemen, after having been engaged in conducting the post-mortem
examination of a case of puerperal fever, went in the same dress, each
respectively, to a case of midwifery. "The one patient was seized with
the rigor about thirty hours afterwards. The other patient was seized
with a rigor the third morning after delivery. One recovered, one died."
[Edin. Med. and Surg. Journal, April, 1838.]
One of these same gentlemen attended another woman in the same clothes
two days after the autopsy referred to. "The rigor did not take place
until the evening of the fifth day from the first visit. Result fatal."
These cases belonged to a series of seven, the first of which was thought
to have originated in a case of erysipelas. "Several cases of a mild
character followed the foregoing seven, and their nature being now most
unequivocal, my friend declined visiting all midwifery cases for a time,
and there was no recurrence of the disease." These cases occurred in
1833. Five of them proved fatal. Mr. Ingleby gives another series of
seven eases which occurred to a practitioner in 1836, the first of which
was also attributed to his having opened several erysipelatous abscesses
a short time previously.
I need not refer to the case lately read before this Society, in which a
physician went, soon after performing an autopsy of a case of puerperal
fever, to a woman in labor, who was seized with the same disease and
perished.
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