Jakob Kolletschka (July 4, 1803 , Biela (now
Luže), Bohemia -
March 13, 1847,
Vienna
) was Professor of Forensic Medicine at Vienna General
Hospital
in Austria
.
Jakob Kolletschka is mostly known for his death which eventually
led
Ignaz Semmelweis to his
discovery of the
etiology of
childbed fever. Below is a quote from the
original reference describing the details of his death.
In a lecture in 1846 he is reputed to have said, "It is here no
uncommon thing for
midwives, especially in
the commencement of their practice, to pull off legs and arms of
infants, and even to pull away the entire bodyand leave the head in
the uterus. Such occurrences are not altogether uncommon; they
often happen."
Death
Semmelweis
had left for Venice
on March 2,
1847, to escape the many deaths at the Viennese maternity
institution, which haunted him. He returned to Vienna on 20
March 1847.
I was immediately overwhelmed by the sad news that
Professor [Jakob] Kolletschka, whom I greatly admired, had died in
the interim.
The case history went as follows: Kolletschka, Professor of
Forensic Medicine, often conducted autopsies for legal purposes in
the company of students. During one such exercise, his finger was
pricked by a student with the same knife that was being used in the
autopsy. I do not recall which finger was cut. Professor
Kolletschka contracted lymphangitis and phlebitis [inflammation of
the lymphatic vessels and of the veins respectively] in the upper
extremity. Then [...] he died of bilateral pleurisy, pericarditis,
peritonitis, and meningitis [inflammation of the membranes of the
lungs and thoracic cavity, of the fibroserous sac surrounding the
heart, of the membranes of the abdomen and pelvic cavity, and of
the membranes surrounding the brain, respectively]. A few days
before he died, a metastasis also formed in one eye. I was still
animated by the art treasures of Venice, but the news of
Kolletschka's death agitated me still more. In this excited
condition I could see clearly that the disease from which
Kolletschka died was identical to that from which so many hundred
maternity patients had also died. The maternity patients also had
lymphangitis, peritonitis, pericarditis, pleurisy, and meningitis,
and metastases also formed in many of them. Day and night I was
haunted by the image of Kolletschka's disease and was forced to
recognize, ever more decisively, that the disease from which
Kolletschka died was identical to that from which so many maternity
patients died. Text in [square brackets] are comments by translator
Carter. Deletions are marked by [...]
References