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Updated: May 29, 2025
#Boils and Carbuncles.# These result from infection with the staphylococcus aureus, which enters the orifices of the ducts of the skin under the influence of friction and pressure, as was demonstrated by the well-known experiment of Garrè, who produced a crop of pustules and boils on his own forearm by rubbing in a culture of the staphylococcus aureus.
Some attribute it to the increase of luxurious and expensive habits among bachelors habits specially fostered by "those hateful clubs;" some to the "snobbishness" which makes a woman consider it beneath her dignity to marry into an establishment less stylish than that which it has perhaps taken her father all his life to secure; some to the demi-monde an explanation very like the theory that small-pox is caused by pustules.
I do not mean to insinuate that exposure to cool air, and suffering the patient to drink cold water when hot and thirsty, may not moderate the eruptive symptoms and lessen the number of pustules; yet, to repeat my former observation, I cannot account for the uninterrupted success, or nearly so, of one practitioner, and the wretched state of the patients under the care of another, where, in both instances, the general treatment did not differ essentially, without conceiving it to arise from the different modes of inserting the matter for the purpose of producing the disease.
Death came in some cases immediately, in others after many days; and with some the body broke out with black pustules about as large as a lentil and these did not survive even one day, but all succumbed immediately. With many also a vomiting of blood ensued without visible cause and straightway brought death.
When this is the case it frequently happens that a disease is communicated to the cows, and from the cows to the dairy-maids, which spreads through the farm until most of the cattle and domestics feel its unpleasant consequences. This disease has obtained the name of Cow-Pox. It appears on the nipples of the cows in the form of irregular pustules.
They were surprised to see that the faces of some were covered with warts and pustules, or otherwise disfigured, and said that no such faces are ever to be seen among them. Yet there were some faces that pleased them, such, namely, as were cheerful and smiling, and such as were slightly prominent about the lips.
The patients from whom the blood was taken had the disease mildly, but had the most pustules of any I could select from twenty inoculated patients; and as much of the blood was insinuated under the cuticle as I could introduce by elevating the skin without drawing blood; and three or four such punctures were made in each of their arms, and the blood was used in its fluid state.
There is very little serious disease, but children are subject to a loathsome malady called puru. Two were brought with it to-day. The body and head are covered with pustules containing matter, looking very much like small-pox, and the natives believe that it must run its course for a year.
Little red spots were produced on the tender skin of the arm, which appeared as if they would have formed watery pustules, but did not. M. Quoy mentions this case of the Millepora; and I have heard of stinging corals in the West Indies.
When the hapless heroine appeared in the last act with wax spots to indicate the pustules of smallpox, she very nearly "took a lot out of us," if one may borrow a phrase from "Mr Hopkinson." Obviously anything that reminds one of the ghastly horrors at the Royal College of Surgeons or the Polyclinic Institute is quite unforgivable.
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