Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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At the bedside it is difficult, if not impossible, to distinguish it from acute infective gangrene. Both follow on the same kinds of injury and run an exceedingly rapid course. In malignant oedema, however, the incidence of the disease is mainly on the superficial parts, which become oedematous and emphysematous, and acquire a marbled appearance with the veins clearly outlined. Early disappearance of sensation is a particularly grave symptom. Bullae form on the skin, and the tissues have "a peculiar heavy but not putrid odour." The constitutional effects are extremely severe, and death may ensue within a few hours.
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