A well nourished and generally healed child of 1 ¼ years - vaccinated 8 days ago. On the right upper arm are four markedly developed pustules. The parents have noticed that the right eye has been swollen shut for three days. Probably the vaccine has been brought into contact with the lids of the right eye either directly by the child itself or by the mother in wiping off the superfluous lymph. The lids are no swollen with edema, bluish red in color, and covered along their inter-marginal areas by closely situated, large and small, round or oval, smooth ulcerations, and a white slimy exudate. The skin of both the lids, well into the inner canthus, is also covered by numerous pustules, which, in their form, their yellow color, and their umbilicated centers are characteristically those of vaccinia. The cornea is clear. The preauricular gland is greatly swollen. - Cleanliness and the prevention of further extension constituted the treatment. Recovery was smooth. From: Wessely K. Stereoskopischer Atlas der Ãusseren Erkrankungen des Auges. 4er Lieferung/Bild 40. München: JF Bergmann Verlag, 1931. |