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Following the acute stage of such an infection, any local counter-irritating application or even a vesicant is in order. Where abatement of the infectious process does not take place, and suppuration of the structures in the vicinity of the joint occurs, it is necessary to provide drainage for pus. In some cases of strangles, for instance, large pus cavities are formed and drainage is imperative.
Inflamed spots now begin to appear on different parts of the hands of the domestics employed in milking, and sometimes on the wrists, which quickly run on to suppuration, first assuming the appearance of the small vesications produced by a burn.
The infective form usually begins as a peri-phlebitis arising in connection with some focus of infection in the adjacent tissues. The elements of the vessel wall are destroyed by suppuration, and the thrombus in its lumen becomes infected with pyogenic bacteria and undergoes softening.
It even seemed to the reporter that this water, being slightly sulphurous, which was explained by the neighbourhood of the volcano, had a more direct action on the healing. The suppuration was much less abundant, and thanks to the incessant care by which he was surrounded! Herbert returned to life, and his fever abated.
On the fourth day after the operation, the cords that had served as a ligature fell off, and all suppuration from the part gradually ceased. 'October 20th'. Three months have passed since the operation, and she is perfectly well. By this singular name is distinguished a prevalent disease now about to come under our consideration, which was first observed on the continent.
If, however, it continues much swollen and runs on to suppuration, it may be punctured with a lancet and poultices applied. If the affection be of a malignant character, the gland may be drawn out by passing a ligature through its base, and then excised. The haw is most frequently concerned in the disease, and may also be removed. 'Canker in the Ear.
The bursæ and tendon sheaths in the vicinity may influence the direction of spread of the abscess and the situation of resulting sinuses. When the abscess is allowed to burst, or is opened and becomes infected with pyogenic bacteria, there is not only the risk of aggravation of the disease and persistent suppuration, but there is a greater liability to general tuberculosis.
In acute rheumatism, however, the joint symptoms predominate, there is an absence of suppuration, and the pains and temperature yield to salicylates. The prognosis varies with the type of the disease, with its location the vertebræ, skull, pelvis, and lower jaw being specially unfavourable with the multiplicity of the lesions, and with the development of endocarditis and internal metastases.
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.
And with some of them it came about that the thigh was withered, in which case, though the swelling was there, it did not develop the least suppuration. With others who survived the tongue did not remain unaffected, and they lived on either lisping or speaking incoherently and with difficulty. Now the disease in Byzantium ran a course of four months, and its greatest virulence lasted about three.
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