t given by
Dr. Peirson of Salem, of the cases seen by him. In the first nineteen
days of January, 1829, he had five consecutive cases of puerperal fever,
every patient he attended being attacked, and the three first cases
proving fatal. In March of the same year he had two moderate cases, in
June, another case, and in July, another, which proved fatal. "Up to
this period," he remarks, "I am not informed that a single case had
occurred in the practice of any other physician. Since that period I
have had no fatal case in my practice, although I have had several
dangerous cases. I have attended in all twenty cases of this disease, of
which four have been fatal. I am not aware that there has been any other
case in the town of distinct puerperal peritonitis, although I am willing
to admit my information may be very defective on this point. I have been
told of some I 'mixed cases,' and 'morbid affections after delivery.'"
In the "Quarterly Summary of the Transactions of the College of
Physicians of Philadelphia" may be found some most extraordinary
developments respecting a series of cases occurring in the practice of a
member of that body.
Dr. Condie called the attention of the Society to the prevalence, at the
present time, of puerperal fever of a peculiarly insidious and malignant
character. "In the practice of one gentleman extensively engaged as an
obstetrician, nearly every female he has attended in confinement, during
several weeks past, within the above limits" (the southern sections and
neighboring districts), "had been attacked by the fever."
"An important query presents itself, the Doctor observed, in reference to
the particular form of fever now prevalent. Is it, namely, capable of
being propagated by contagion, and is a physician who has been in
attendance upon a case of the disease warranted in continuing, without
interruption, his practice as an obstetrician? Dr. C., although not a
believer in the contagious character of many of those affections
generally supposed to be propagated in this manner, has nevertheless
become convinced by the facts that have fallen under his notice, that the
puerperal fever now prevailing is capable of being communicated by
contagion. How otherwise can be explained the very curious circumstance
of the disease in one district being exclusively confined to the practice
of a single physician, a Fellow of this College, extensively engaged in
obstetrical practice,--while no instance
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