Excerpt from The Tri-State Medical Journal, 1894, Vol. 1
Sept. 19th, 1892, l vaccinated at one time four children in one family, the oldest of whom was a girl of thirteen. The points were charged from two different sources to make them doubly-sure of effect, and l have the affidavits of Chas. Truax, Green 81 Co., of Chicago, that they were fresh and that the utmost care was observed in their preparation. The points were received from the above firm Sept. 3rd, 1893, and were thus a little over two weeks old. These were kept in a cool, dark place. Three of the children went through their vaccina with no undue disturbance. The girl spoken of had a typical scar and was doing nicely until Oct. 30th, 1892. On that day her mother consulted me in regard to an eruption in the hair and on the back of the neck which I supposed from her description to be an eczema. The girl came to see me the next day and I found the back of the neck pretty thoroughly covered with vesicles from the size of a pea to that of a bean. Some of these were becoming conﬂuent. They were surrounded by a faint areola and there was some itching present. The lesions were extending pretty thoroughly up into the hair. In three days they had so thoroughly invaded the scalp that the hair was cut off. They were beginning to appear on the back, chest and arms, and were becoming much larger (the size of a hickory-nut). The contents of the first vesicles, which originally was a clear serum, was now decidedly milky. They were also becoming more conﬂuent, so that the back of the neck at first sight looked as though it was covered with one large pustule.
Within a week the vesicles were appearing thickly on the genitalia and less thickly on the thighs. Th'ose on the thighs were fully as large as a good-sized walnut and there was here no tendency to become confluent.
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