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Updated: June 8, 2025
The case required no further attention. This case leads me to caution my readers always to examine the parts carefully after the separation of the eschars, and if there be the slightest ulcer remaining to apply the caustic to it. Mrs.
Two small eschars, one in each eye, were visible, which indicated pretty strongly that he had been made blind by some sharp instrument, most probably by a heated needle. The suspicion was very strong against the former keeper, of whom I never heard anything after.
Under any other plan of treatment I think it impossible that she should not have been compelled to rest for a number of days. Adherent eschars were formed on the other three bites which were less severe, from the first application. A very irritable sore sometimes forms after the application of leeches.
I applied the lunar caustic to the wound immediately. On the following day the eschar was found to be adherent, and there was neither pain nor swelling. The eschars separated in nine days leaving the wounds healed. It is remarkable that the eschar remains a greater or less time over the wound according to the severity and exigency of the case.
From this circumstance, and from the neglect of the eschars for two or three days already mentioned, I suspected the formation of a scab under them. It was impossible to pierce the eschars by the penknife without breaking them, as they had become too hard and thick by delay and the addition of the scab. I again directed the cold poultice for four or five days.
C. aged 40, had two small irritable and inflamed ulcers, under the inner ankle. I applied the lunar caustic to form an eschar. It was requisite to evacuate a little fluid from under the eschars for three successive days; they then remained adherent. About the usual time the eschars separated, leaving a small point of the size of a pin's head, unhealed; this I again touched with the caustic.
She had formerly been treated for syphilis, and had afterwards taken the sarsaparilla freely; amongst a great variety of local applications, the white bread poultice had afforded most relief. I applied the lunar caustic to two of the smaller ulcers. On the following day the eschars were complete.
When the inflammation had again subsided, I ventured, notwithstanding the oedema, to apply the lunar caustic to form an eschar, enjoining rest and the horizontal position. On the following day complete but unadherent eschars were formed over each sore. There, had been no pain after the smart of the caustic had ceased.
In ten more days, the eschars had separated and all the ulcers and excoriations were completely healed. This case occurred several years ago, and there has been no return of the affliction whatever. Mr. Marshall, aged 60, had a troublesome ulcer under the outer ankle, of an oblong form and of the size of sixpence.
Usually, if the animal gnaws at the parts or otherwise manifests evidence of discomfort, it is an indication that new areas of infection are being established because of obstructed drainage or retained eschars.
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