Spontaneous Gangrene in Glucosuria. By M. Marciial, of Calvi.—
Two years ago the author observed a case of spontaneous gangrene in a
diabetic patient, who first lost the little toe, and, continuing to void
sugar in the urine, eventually succumbed with gangrene of nearly the
entire foot. Since this observation, made fifteen years ago, Dr. Lan-
douzy, of Rheims, communicated a case of gangrene of both legs in a
diabetic patient. A third case has occurred recently.
M. Marchal was called into consultation, near Paris, to see a patient
suffering from two gangrenous spots upon the dorsal region. One, very
large, and surrounded by phlegmonous redness and oedema, extended
along the outer part of the left thigh. The patient, upon inquiry, stated
that, for many years, he had drunk much, and had voided large quanti-
ties of urine. The urine, examined by M. Duroy, an experienced che-
mist, yielded much sugar. As in one of the preceding cases, the patient
had suffered frequently from boils in various parts of the body, M. Mar-
chal purposes carrying on his investigations further at a future period,
but thought the fact of sufficient importance to lay before the Society.—
Ibid, from I? Union Medicale.