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A similar enlargement is met with in the axilla in cases of chronic interstitial mastitis, and in the groin as a result of chronic irritation about the external genitals, such as balanitis. Sometimes the lymphadenitis is of an acute character, and the tendency is towards the formation of an abscess.
Gooch gives an instance of a boy of thirteen who fell from the top of a barn upon the sharp prow of a plough, inflicting an oblique wound from the axilla to below the sternum, slightly above the insertion of the diaphragm. Several ribs were severed, and the left thoracic cavity was wholly exposed to view, showing the lungs, diaphragm, and pericardium all in motion.
On the sixth day he complained of pain in the axilla, and on the seventh was affected with the common symptoms of a patient sickening with the smallpox from inoculation, which did not terminate till the third day after the seizure. So perfect was the similarity to the variolous fever that I was induced to examine the skin, conceiving there might have been some eruptions, but none appeared.
The division of the nerve at the elbow, or even at the axilla, does not increase the extent of the loss of epicritic or protopathic sensibility, but usually affects deep sensibility.
These are most often met with in the nearest lymph glands; those in the neck, for example, becoming infected from cancer of the lip, tongue, or throat; those in the axilla, from cancer of the breast; those along the curvatures of the stomach, from cancer of the pylorus; and those in the groin, from cancer of the external genitals.
MacNab records a case of rheumatic fever in which the temperature was 111.4 degrees F. as indicated by two thermometers, one in the axilla and the other in the groin. This high degree of temperature was maintained after death.
After this the inflammation about the punctures soon died away, but a small appearance of erysipelas was manifest about the edges of the incisions till the eighth day, when a little uneasiness was felt for the space of half an hour in the right axilla. The inflammation then hastily disappeared without producing the most distant mark of affection of the system.
Mr. Abraham Riddiford, a farmer at Stone in this parish, in consequence of dressing a mare that had sore heels, was affected with very painful sores in both his hands, tumours in each axilla, and severe and general indisposition.
Lovort describes an enucleation of the eye in the second month of pregnancy. Pilcher cites the instance of a woman of fifty-eight, eight months in her fourth pregnancy, whose breast and axilla he removed without interruption of pregnancy. Robson, Polaillon, and Coen report similar instances.
Mary Hearn, twelve years of age, was inoculated with matter taken from the arm of Susan Phipps. 6th day: A pustule beginning to appear, slight pain in the axilla. 7th: A distinct vesicle formed. 8th: The vesicle increasing; edges very red; no deviation in its appearance at this time from the inoculated smallpox. 9th: No indisposition; pustule advancing.
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