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Such children talk late, are infantile in their habits and ways of thought, and are more emotional and unstable than healthy children of the same age. The connection between bodily ailments and instability of nervous control is even more clearly seen in the frequent combination of rheumatism and chorea.
If this dog has been bitten, and rabies is about to establish itself, he is the most irritative restless being that can be conceived of; starting convulsively at the slightest sound; disposing of his bed in every direction, seeking out one retreat after another in order to rest his wearied frame, but quiet only for a moment in any one, and the motion of his limbs frequently stimulating chorea and even epilepsy.
In a variety of instances, there is the irritable temper which accompanies chorea in the human being, and most certainly when the disease has been extensive and confirmed. Chorea, neglected or improperly treated, or too frequently pursuing its natural course, degenerates into paralysis agitans. There is a tremulous or violent motion of almost every limb.
It is usually accompanied by chorea, and it is then, in the majority of cases, hopeless. Setons should be inserted in the poll, being then, as nearly as possible, at the commencement of the spinal cord. They should be well stimulated and worn a considerable time.
Their action is irregular and spasmodic, and it resembles the struggles of expiring nature far more than the great and uniform action of health. It is not the chorea that used to be described, in which there was an irresistible impulse to excessive action, and which was best combated by complete muscular exhaustion; but the foundation of this disease is palpable debility.
Fraenkel found these nodules in the myocardium in a case of chorea, showing the close relationship between it and rheumatism. While repeated careful examination of the heart during acute infections will generally show signs of endocarditis if it is present, even if there are no subjective symptoms, the disease may be so insidious as not to be noted until a valvular lesion occurs.
How sweetly simple was that little one's faith; she expected God to "do," and she got her request. The following incidents are specially contributed to these pages by Rev. J.S. Bass, a Home Missionary of Brooklyn, N.Y.: "While living in Canada, my eldest daughter, then a girl of ten years of age, rather delicate and of feeble health, had a severe attack of chorea, "St. Vitus's dance."
This particular valvular defect occurs more frequently in women than in men, and between the ages of 10 and 30, and is generally the result of rheumatic endocarditis or chorea, perhaps 60 percent of mitral stenosis having this origin. Other causes are various infections or chronic disease, such as nephritis.
In the case of little children it is often only the mother who really appreciates how radical an alteration the child's whole nature has undergone, and how great the element of nervous overstrain has been before the chorea has appeared. Of the treatment of chorea there is no need to speak. It is purely symptomatic.
The great physician Sydenham gave the first accurate description of what is to-day called chorea, and hence the disease has been named "Sydenham's chorea." So true to life was his portrayal of the disease that it has never been surpassed by modern observers.
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