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PAPERS; 



392 



krly at night, and one of them had a perpetual tenefmus. 

 This fymptom appeared in fcvcral who had the difficulty ^y^. 

 of breathing, but in none to fo remarkable a degree as in 



this child. 



After this, many other children had fimilar ulcers be- 

 hind their ears; and fome of them feemed flightly affec- 

 ted with the difficulty of breathing; but it never became •'--\- 

 alarming while this difcharge continued. Thefe ulcers 

 would eontinue for feveral weeks, and appeared covered ia 

 forac places with floughs, refembling thole on the tonfils; 

 and at laft grew very painful and uneafy. 



In fome cafes they were attended with fwcUings of the 

 parotid and fublingual glands, which fubfided on the 

 eruptions appearing behind the ears, and dlfcharging free- 

 ly, and again fwelled upon the difcharge being checked. 



I met with but two inftances of any thing like this com- 

 plaint in adult perfons. Both of thefe were women; and 

 one of them had affiftcd in laying out two of the children 

 that died of it. At firft her fyraptoms refembled rather 

 an inflammatory angina, but about the third day the ton- 

 fils appeared covered with thick floughs; her puUe was^ 





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low and feeble; die had a moift fkin; a deje£tion of fpi 

 rits; and fome degree of anxiety, though nothing like the 

 difficult breathing of the children. 



The other was a foldier's wife, who for fome time, be- 

 fore flie perceived any complaint in her throat, laboured- 

 under a low fever. Her tonfils were fwelled, and entirely 

 covered with floughs, refembling thofe of the children 

 her breath was more ofl'enfive, and flie had no fufFocation.. 



I have had an opportunity of examining the nature and 

 feat of this difeafe, from diffedion, in three inftances 



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One was a child of three years old. 



was 



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firft complaint 

 an uneafinefs in her throat. Upon examining it the 

 tonfils appeared fweUed and inflamed, v/ith large white 

 floughs upon them, the edges of which were remarkably 

 more red than the other parts of the throat. She had no 

 great forenefs in her^ throat, and could fwallow with little, 

 or no difficulty. She complained of a pain under her 



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