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Then abscesses would form, to break out after an interval in some remote portion of the body. Their strength all gone, reduced to skeletons, with ashen, clayey faces, the miserable wretches suffered the torments of the damned.
These emboli lodge in the minute vessels of the lungs, spleen, liver, kidneys, pleura, brain, synovial membranes, or cellular tissue, and the bacteria they contain give rise to secondary foci of suppuration. Secondary abscesses are thus formed in those parts, and these in turn may be the starting-point of new emboli which give rise to fresh areas of pus formation.
A suppurative arthritis, like that caused by ordinary pus microbes, may be the result of gonococcal infection alone or of a mixed infection. Usually only one joint is affected, but the condition may be multiple. The articular cartilages are destroyed, the ends of the bones are covered with granulations, extra-articular abscesses form, and complete osseous ankylosis results.
Autogenous bacterins should be used in addition to the surgical treatment. A pus fistula should heal from the bottom, and if the opening becomes closed, drainage should be re-established. The daily treatment is the same as recommended for abscesses. Excessive cutting and destruction of the tissues with caustic preparations result in scarring and deformity of the part.
It really appears that surgeons are innocent of the part they play in rupturing unsuspected abscesses and otherwise complicating this disease by much rough handling. The paroxysmal pain which is characteristic of the early stages of appendicitis may be accompanied by fever, sometimes low and sometimes high, nausea, vomiting and diarrhea. The vomiting may be severe and there may only be nausea.
The organs above named are the commonest situations of pyæmic abscesses, but these may also occur in the bone marrow, the substance of muscles, the heart and pericardium, lymph glands, subcutaneous tissue, or, in fact, in any tissue of the body. Organisms circulating in the blood are prone to lodge on the valves of the heart and give rise to endocarditis.
Curses in many languages descend upon the head of the unlucky boy who fails to remove the sack entire. For the egg-envelope once broken, abscesses and blood poisoning may result, and one's toes become an offence to surgery.
In cases in which a constricting bandage is inapplicable, for example, in cold abscesses, tuberculous glands or tendon sheaths, Klapp's suction bell is employed. The cup is applied for five minutes at a time and then taken off for three minutes, and this is repeated over a period of about three-quarters of an hour.
We used to make a distinction between those cases in which their toxins or poison-products got into the blood, with the production of fever, headache, backache, delirium, sweats, etc., which we term septicæmia, and other cases in which the cocci themselves were carried into the blood and swept all over the body by forming fresh foci, or breeding-places, which resulted in abscesses all over the body, which we call pyæmia.
The waste materials are carried in the blood stream to the organs of elimination and incite them to acute reactions or healing crises in the form of diarrheas, catarrhal discharges, fevers, inflammations, skin eruptions, boils, abscesses, etc. Now the sponge is being squeezed and cleansed of its impurities in a natural manner.
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