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Hence many one-child marriages due not to the use of contraceptives, but to the action of the gonococcus transferred to the body of the wife. But there is this hope.
In 1879 a new stage of more precise knowledge of the venereal diseases began with Neisser's discovery of the gonococcus which is the specific cause of gonorrhoea. This was followed a few years later by the discovery by Ducrey and Unna of the bacillus of soft chancre, the least important of the venereal diseases because exclusively local in its effects.
It is caused by a venereal bacillus, the gonococcus. Under favorable conditions and with right treatment, gonorrhea may be cured, though violently painful, in fourteen days. Often the inflammation extends, becomes chronic and attacks other organs.
Gonorrhea has even more dangerous consequences in women than in men. The gonococcus bacilli infect all the inner female genital organs. They cause frequent inflammations and lead to growths in the belly. Women thus attacked usually are apt to be sterile; they suffer agonies, and often become chronic invalids.
Suppuration, or the formation of pus, is one of the results of the action of bacteria on the tissues. The invading organism is usually one of the staphylococci, less frequently a streptococcus, and still less frequently one of the other bacteria capable of producing pus, such as the bacillus coli communis, the gonococcus, the pneumococcus, or the typhoid bacillus.
It is not necessary to do more than name some of the other organisms that are known to be pyogenic, such as the bacillus pyocyaneus, which is found in green and blue pus, the micrococcus tetragenus, the gonococcus, actinomyces, the glanders bacillus, and the tubercle bacillus. Most of these will receive further mention in connection with the diseases to which they give rise.
We applied alternate hot and cold cloths; we washed the eyes in a solution of boric acid, and later, in our desperation, with bluestone. But we were dealing with the virulent gonococcus, and we neither expected nor obtained much result from these measures. In a couple of hours more the eyes were beginning to exude pus, and the poor infant was wailing in torment. "Oh, what can it be?
The gonococcus is carried to the joint in the blood-stream and is first deposited in the synovial membrane, in the tissues of which it can usually be found; it may be impossible to find it in the exudate within the joint. The joint lesions may be the only evidence of metastasis, or they may be part of a general infection involving the endocardium, pleura, and tendon sheaths.
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