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. The forfeit of that error has been already paid.
At a meeting of the Medical and Chirurgical Society before referred to,
Dr. Merriman related an instance occurring in his own practice, which
excites a reasonable suspicion that two lives were sacrificed to a still
less dangerous experiment. He was at the examination of a case of
puerperal fever at two o'clock in the afternoon. He took care not to
touch the body. At nine o'clock the same evening he attended a woman in
labor; she was so nearly delivered that he had scarcely anything to do.
The next morning she had severe rigors, and in forty-eight hours she was
a corpse. Her infant had erysipelas and died in two days. [Lancet, May
2, 1840.]
In connection with the facts which have been stated, it seems proper to
allude to the dangerous and often fatal effects which have followed from
wounds received in the post-mortem examination of patients who have died
of puerperal fever. The fact that such wounds are attended with peculiar
risk has been long noticed. I find that Chaussier was in the habit of
cautioning his students against the danger to which they were exposed in
these dissections. [Stein, L'Art d'Accoucher, 1794; Dict. des Sciences
Medicales, art. "Puerperal."] The head pharmacien of the Hotel Dieu, in
his analysis of the fluid effused in puerperal peritonitis, says that
practitioners are convinced of its deleterious qualities, and that it is
very dangerous to apply it to the denuded skin. [Journal de Pharmacie,
January, 1836.] Sir Benjamin Brodie speaks of it as being well known
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