anomalies and curiosities of medicine-第82部分

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us　erections；　although　no　spermatozoa　were　found　in　the　semen　issued。　He　showed　no　fondness　for　the　opposite　sex。　The　history　of　this　rapid　growth　says　that　he　was　not　unlike　other　children　until　the　third　year；　when　after　wading　in　a　small　stream　several　hours　he　was　taken　with　a　violent　chill；　after　which　his　voice　began　to　change　and　his　sexual　organs　to　develop。

Blanc　quotes　the　case　described　by　Cozanet　in　1875　of　Louis　Beran；　who　was　born　on　September　29；　1869；　at　Saint…Gervais；　of　normal　size。　At　the　age　of　six　months　his　dimensions　and　weight　increased　in　an　extraordinary　fashion。　At　the　age　of　six　years　he　was　1。28　meters　high　（4　feet　2　1/3　inches）　and　weighed　80　pounds。　His　puberty　was　completely　manifested　in　every　way；　he　eschewed　the　society　of　children　and　helped　his　parents　in　their　labors。　Campbell　showed　a　lad　of　fourteen　who　had　been　under　his　observation　for　ten　years。　When　fifteen　months　old　this　prodigy　had　hair　on　his　pubes　and　his　external　genitals　were　abnormally　larger　end　at　the　age　of　two　years　they　were　fully　developed　and　had　not　materially　changed　in　the　following　years。　At　times　he　manifested　great　sexual　excitement。　Between　four　and　seven　years　he　had　seminal　discharges；　but　it　was　not　determined　whether　the　semen　contained　spermatozoa。　He　had　the　muscular　development　of　a　man　of　twenty…five。　He　had　shaved　several　years。　The　boy's　education　was　defective　from　his　failure　to　attend　school。

The　accompanying　illustration　represents　a　boy　of　five　years　and　three　months　of　age　whose　height　at　this　time　was　4　feet　and　his　physical　development　far　beyond　that　usual　at　this　age；　his　external　genitals　resembling　those　of　a　man　of　twenty。　His　upper　lip　was　covered　by　a　mustache；　and　the　hirsute　growth　elsewhere　was　similarly　precocious。

The　inscription　on　the　tombstone　of　James　Weir　in　the　Parish　of　Carluke；　Scotland；　says　that　when　only　thirteen　months　old　he　measured　3　feet　4　inches　in　height　and　weighed　5　stone。　He　was　pronounced　by　the　faculty　of　Edinburgh　and　Glasgow　to　be　the　most　extraordinary　child　of　his　age。　Linnaeus　saw　a　boy　at　the　Amsterdam　Fair　who　at　the　age　of　three　weighed　98　pounds。　In　Paris；　about　1822；　there　was　shown　an　infant　Hercules　of　seven　who　was　more　remarkable　for　obesity　than　general　development。　He　was　3　feet　4　inches　high；　4　feet　5　inches　in　circumference；　and　weighed　220　pounds。　He　had　prominent　eyebrows；　black　eyes；　and　his　complexion　resembled　that　of　a　fat　cook　in　the　heat。　Borellus　details　a　description　of　a　giant　child。　There　is　quoted　from　Boston　a　the　report　of　a　boy　of　fifteen　months　weighing　92　pounds　who　died　at　Coney　Island。　He　was　said　to　have　been　of　phenomenal　size　from　infancy　and　was　exhibited　in　several　museums　during　his　life。

Desbois　of　Paris　mentions　an　extraordinary　instance　of　rapid　growth　in　a　boy　of　eleven　who　grew　6　inches　in　fifteen　days。

Large　and　Small　New…born　Infants。There　are　many　accounts　of　new…born　infants　who　were　characterized　by　their　diminutive　size。　On　page　66　we　have　mentioned　Usher's　instance　of　twins　born　at　the　one　hundred　and　thirty…ninth　day　weighing　each　less　than　11　ounces；　Barker's　case　of　a　female　child　at　the　one　hundred　and　fifty…eighth　day　weighing　1　pound；　Newinton's　case　of　twins　at　the　fifth　month；　one　weighing　1　pound　and　the　other　1　pound　3　1/2　ounces；　and　on　page　67　is　an　account　of　Eikam's　five…months'　child；　weighing　8　ounces。　Of　full…term　children　Sir　Everard　Home；　in　his　Croonian　Oration　in　1824；　speaks　of　one　borne　by　a　woman　who　was　traveling　with　the　baggage　of　the　Duke　of　Wellington's　army。　At　her　fourth　month　of　pregnancy　this　woman　was　attacked　and　bitten　by　a　monkey；　but　she　went　to　term；　and　a　living　child　was　delivered　which　weighed　but　a　pound　and　was　between　7　and　8　inches　long。　It　was　brought　to　England　and　died　at　the　age　of　nine；　when　22　inches　high。　Baker　mentions　a　child　fifty　days'　old　that　weighed　1　pound　13　ounces　and　was　14　inches　long。　Mursick　describes　a　living　child　who　at　birth　weighed　but　1　3/4　pounds。　In　June；　1896；　a　baby　weighing　1　3/4　pounds　was　born　at　the　Samaritan　Hospital；　Philadelphia。

Scott　has　recorded　the　birth　of　a　child　weighing　2　1/2　pounds；　and　another　3　1/4　pounds。　In　the　Chicago　Inter…Ocean　there　is　a　letter　dated　June　20；　1874；　which　says　that　Mrs。　J。　B。　McCrum　of　Kalamazoo；　Michigan；　gave　birth　to　a　boy　and　girl　that　could　be　held　in　the　palm　of　the　hand　of　the　nurse。　Their　aggregate　weight　was　3　pounds　4　ounces；　one　weighing　1　pound　8　ounces；　the　other　1　pound　12　ounces。　They　were　less　than　8　inches　long　and　perfectly　formed；　they　were　not　only　alive　but　extremely　vivacious。

There　is　an　account　of　female　twins　born　in　1858　before　term。　One　weighed　22　1/2　ounces；　and　over　its　arm；　forearm；　and　hand　one　could　easily　pass　a　wedding…ring。　The　other　weighed　24　ounces。　They　both　lived　to　adult　life；　the　larger　married　and　was　the　mother　of　two　children；　which　she　bore　easily。　The　other　did　not　marry；　and　although　not　a　dwarf；　was　under…sized；　she　had　her　catamenia　every　third　week。　Post　describes　a　2…pound　child。

On　the　other　hand；　there　have　been　infants　characterized　by　their　enormous　size　at　birth。　Among　the　older　writers；　Cranz　describes　an　infant　which　at　birth　weighed　23　pounds；　Fern　mentions　a　fetus　of　18　pounds；　and　Mittehauser　speaks　of　a　new…born　child　weighing　24　pounds。　Von　Siebold　in　his　〃Lucina〃　has　recorded　a　fetus　which　weighed　22　1/2　pounds。　It　is　worthy　of　comment　that　so　great　is　the　rarity　of　these　instances　that　in　3600　cases；　in　the　Rotunda　Hospital；　Dublin；　only　one　child　reached　11　pounds。

There　was　a　child　born　in　Sussex　in　1869　which　weighed　13　1/2　pounds　and　measured　26　1/2　inches。　Warren　delivered　a　woman　in　Derbyshire　of　male　twins；　one　weighing　17　pounds　8　ounces　and　the　other　18　pounds。　The　placenta　weighed　4　pounds；　and　there　was　an　ordinary　pailful　of　liquor　amnii。　Both　the　twins　were　muscular　and　well　formed；　the　parents　were　of　ordinary　stature；　and　at　last　reports　the　mother　was　rapidly　convalescing。　Burgess　mentions　an　18…pound　new…born　child；　end　Meadows　has　seen　a　similar　instance。　Eddowes　speaks　of　the　birth　of　a　child　at　Crewe；　a　male；　which　weighed　20　pounds　2　ounces　and　was　23　inches　long。　It　was　14　1/2　inches　about　the　chest；　symmetrically　developed；　and　likely　to　live。　The　mother；　who　was　a　schoolmistress　of　thirty…three；　had　borne　two　previous　children；　both　of　large　size。　In　this　instance　the　gestation　had　not　been　prolonged；　the　delivery　was　spontaneous；　and　there　was　no　laceration　of　the　parts。

Chubb　says　that　on　Christmas　Day；　1852；　there　was　a　child　delivered　weighing　21　pounds。　The　labor　was　not　severe　and　the　other　children　of　the　family　were　exceptionally　large。　Dickinson　describes　a　woman；　a　tertipara；　who　had　a　most　difficult　labor　and　bore　an　extremely　large　child。　She　had　been　thirty…six　hours　in　parturition；　and　by　evisceration　and　craniotomy　was　delivered　of　a　child　weighing　16　pounds。　Her　first　child　weighed　9　pounds；　her　second　20；　and　her　third；　the　one　described；　cost　her　her　life　soon　after　delivery。

There　is　a　history　of　a　Swedish　woman　in　Boston　who　was　delivered　by　the　forceps　of　her　first　child；　which　weighed　19　3/4　pounds　and　which　was　25　3/4　inches　long。　The　circumference　of　the　head　was　16　3/4　inches；　of　the　neck　9　3/4；　and　of　the　thigh　10　3/4　inches。

Rice　speaks　of　a　child　weighing　20　1/4　pounds　at　birth。　Johnston　describes　a　male　infant　who　was　born　on　November　26；　1848；　weighing　20　pounds；　and　Smith　another　of　the　same　weight。　Baldwin　quotes　the　case　of　a　woman　who　after　having　three　miscarriages　at　last　had　a　child　that　weighed　23　pounds。　In　the　delivery　there　was　extensive　laceration　of　the　anterior　wall　of　the　vagina；　the　cervix　and　perineum；　together　with　an　inch　of　the　rectum；　were　completely　destroyed。

Beach　describes　a　birth　of　a　young　giant　weighing　23　3/4　pounds。　Its　mother　was　Mrs。　Bates；　formerly　Anna　Swann；　the　giantess　who　married　Captain　Bates。　Labor　was　rather　slow；　but　she　was　successfully　delivered　of　a　healthy　child　weighing　23　3/4　pounds　and　30　inches　long。　The　secundines　weighed　ten　pounds　and　there　were　nine　quarts　of　amniotic　fluid。

There　is　a　recent　record　of　a　Cesarian　section　performed　on　a　woman　of　forty　in　her　twelfth　pregnancy　and　one　month　beyond　term。　The　fetus；　which　was　almost　exsanguinated　by　amputation；　weighed　22　1/2　pounds。　Bumm　speaks　of　the　birth　of　a　premature　male　infant　weighing　4320　gm。　（9　1/2　pounds）　and　measuring　54　cm。　long。　Artificial　labor　had　been　induced　at　the　thirty…fifth　week　in　the　hope　of　delivering　a　living　child；　the　three　preceding　infants　having　all　been　still…born　on　account　of　their　large　size。　Although　the　mother's　pelvis　was　wide；　the　disposition　to　bear　huge　infants　was　so　great　as　to　render　the　woman　virtually　barren。

Congenital　asymmetry　and　hemihypertrophy　of　the　body　are　most　peculiar　anomalies　and　must　not　be　confounded　with　acromegaly　or　myxedema；　in　both　of　which　there　is　similar　lack　of　symmetric　development。　There　seems　to　be　no　satisfactory　clue　to　the　causation　of　these　abnormalisms。　Most　frequently　the　left　side　is　the　least　developed；　and　there　is　a　decided　difference　in　the　size　of　the　extremities。

Finlayson　reports　a　case　of　a　child　affected　with　congenital　unilateral　hypertrophy　associated　with　patches　of　cutaneous　congestion。　Logan　mentions　hypertrophy　in　the　right　half　of　the　body　in　a　child　of　four；　first　noticed　shortly　after　birth；　Langlet　also　speaks　of　a　case　of　congenital　hypertrophy　of　the　right　side。　Broca　and　Trelat　were　among　the　first　observers　to　discuss　this　anomaly。

Tilanus　of　Munich　in　1893　reported　a　case　of　hemihypertrophy　in　a　girl　of　ten。　The　whole　right　half　of　the　body　was　much　smaller　and　better　developed　than　the　left；　resulting　in　a　limping　gait。　The　electric　reaction　and　the　reflexes　showed　no　abnormality。　The　asymmetry　was　first　observed　when　the　child　was　three。　Mobius　and　Demme　report　similar　cases。

Adams　reports　an　unusual　case　of　hemihypertrophy　in　a　boy　of　ten。　There　was　nothing　noteworthy　in　the　family　history；　and　the　patient　had　suffered　from　none　of　the　diseases　of　childhood。　Deformity　was　noticeable　at　birth；　but　not　to　such　a　degree　relatively　as　at　a　later　period。　The　increased　growth　affected　the　entire　right　half　of　the　body；　including　the　fac