Series of 699 cases of mumps in which there were 211 eases of orchitis. In 163 of the cases of orchitis atrophy occurred in 103. J. Comby (Le Prog. Med., Feb. 11, '93).
Epidemic occurring at Fort Apache among the soldiers. There were 40 pa tients and 13 cases of orchitis, with atrophy in 3 cases. Jarvis (N. Y. Af ed. Jour., May 27, '93).
Statistics of 626 cases of mumps in the garrison of Grenoble from 1890 to 1895. Of these, 184 cases were compli cated by orchitis: 133 simple and 51 double. There were 4 cases complicated by endopericarditis, 2 by double pneu monia, 10 by multiple arthralgia, and 2 by serious encephalopathy, but there were no deaths. Trouillet (Le Dauphine Med., June, '95).
Case in which acute panereatitis oc curred as a complication of parotitis in a boy of 10 years. Severe vomiting fol lowed by violent pain in the upper abdo men led to the detection of enlarged pan creas. The parotitis subsided as the pan creatic affection developed. The tumor remained unaltered after free evacuation of the bowels and persisted for some days. The case ended in recovery. H. W. Jacob (Brit. Med. Jour., June 23, 1900).
Prognosis.—Mumps is rarely a serious disease. It usually runs an uneventful course, and under twelve years complica tions are rare. In children of the so called scrofulous type resolution is times slow and imperfect. Among 24, 635 cases occurring in the army during the Civil War there were 39 deaths: a mortality so high as to lead to doubt re garding the accuracy of the statistics. Treatment.—Cases of ordinary sever ity require but little medication. A mild antiseptic mouth-wash should be given with a view of preventing infection by pyogenic bacteria. The diet should be liquid and the child should be kept in bed if there is fever. Warm camphorated oil is the most soothing application that can be used locally. When there is great tension or throbbing, the ice-bag times gives more relief than warm ap plications. In general terms, the ment is the same as for other febrile con ditions.
Buccal antisepsis diminishes the chances of testicular complications in parotitis. A 4-per-cent. solution of boric
acid (very hot), thyrnol, or carbolic acid should be employed as a gargle, and pilocarpine subcutaneously in doses of grain once daily, to diminish the pain and lower the temperature in cases of orchitis. Martin (Revue de Med., Mar. 10, '94).
Following ointment recommended for mumps:— 13, Ichthyol, Iodide of lead, of each, 45 grains. Chloride of ammonium, 30 grains. Lard, 1 ounce.
This ointment is to be applied to the swelled parts three times a day. In some instances vaselin may be used in place of the lard, and sometimes donna may be added with advantage. Tranchet (Jou•. des Pract., May 9. '96).
Guaiacol is valuable as an antiphlo gistic and antiseptic. An ointment, con taining 5 per cent. of the drug, is ap plied once or several times a day over the whole region of the affected gland, which is then covered with a cotton dressing. Series of twelve cases, in which the swelling decreased at the sec ond or third treatment, the pain and discomfort in chewing and swallowing likewise ameliorating. E. Grande (Se maine Medicolc. No. 34, 1902).
Symptomatic Parotitis.
This form of parotitis is always sec ondary and occurs during the course of various acute and septic diseases. It is commonly unilateral and invariably ter minates in suppuration. It occurs chiefly in the course of pymmia, cholera, dysen tery, the plague, and in scarlet, typhus, typhoid, and puerperal fevers.
Two cases of gouty parotitis, the only two met in a large experience among gouty subjects since IS6S, at Contrexe ville, France. Twelve unpublished eases collected from various French and Eng lish authors. Debout d'Estrees (Univ. Med. Mag., Mar., '95).
Efforts at insufflation, such as those required in the use of wind-instruments, like the military trumpet, may cause a relapse of parotitis in persons who have recently suffered from the affection. These relapses may end in a chronic lesion of the parotid gland, which be comes hypertrophied. E. Albert (Revue de Med., Oct. 10, '95).