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On the other hand, malignant endocarditis may apparently develop de novo. Still, if the cause is carefully sought there will generally be found a source of infection, a septic process somewhere, possibly a gonorrhea, a septic tonsil or even a pyorrhea alveolaris. Septic uterine disturbances have long been known to be a source of this disease.
A considerable proportion of people with decayed teeth have also suppuration about the margins of the gums and around the roots of the teeth. This pyorrhoea alveolaris, as it is called, constitutes a very great danger to the patient's health, the purulent discharge teems with poisonous micro-organisms, which being constantly swallowed are apt to give rise to septic disease in various organs.
So-called bowel antiseptics, such as salol, for a short time may be of advantage. Colon washings may be of great advantage. Liquid petroleum may be advantageous. Besides preventing the absorption of toxins from the intestine, we must prevent such absorption from any latent infection. The most frequent kind of such infection is pyorrhea alveolaris.
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