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Updated: May 8, 2025
This fact is pointed out by the prompt retrogression of the diffuse peritoneal symptoms after rupture of the abscess; the diffuse peritonitis of this stage might then be designated a nonbacterial 'chemical' inflammation, according to the terminology now in vogue; finally, it was positively a bacterial infection, although the postmortem finding of bacteria in the distant folds of the peritoneum is not proof of this; we know that during the terminal agony or after death these may wander a long distance from the perityphlitic focus."
The case could not have been peritoneal perforation at the start, for the symptoms do not justify the diagnosis. A perforation causing diffuse peritonitis so early would have a higher pulse and temperature, and death would have followed within a few hours.
These three are the most common, but others are occasionally found. In addition to these, which may be regarded as demonstrated, the following diseases are with more or less certainty regarded as caused by distinct specific bacteria: Bronchitis, endocarditis, measles, whooping-cough, peritonitis, pneumonia, syphilis.
The pus finally broke through the adhesions, and produced diffuse peritonitis." It is doubtful if anything but sound tissue could have withstood the strain that was put upon this man's diseased cecum from gas distention. The infection-laden gas could find a way anywhere in diseased tissue and broken continuity.
The peritoneum seemed to be dyed from its immersion in this fluid, as it showed a general red hue, not apparently deeper in some parts than in others. There was an absence, to a great extent, of that beautiful appearance and well-marked course of the minute blood-vessels which accompany many cases of original peritonitis.
Perforation of the vaginal walls, bladder, cervix, or uterus, may follow their use. Septic pelvic peritonitis may ensue, and the woman may lose her life. The person who has employed such means for inducing abortion is liable to be charged with the crime of murder.
Thus, the furious initiative symptoms of pneumonia, of peritonitis, or erysipelas, of the exanthemata, are exaggerations of phenomena which are analogous to the phenomena accompanying physical injury and fear of physical violence.
In my practice I have had several patients who did not take any food, except water to which acid fruit juices had been added, for more than seven weeks, and then made a rapid and complete recovery. In cases of gastritis, appendicitis, peritonitis, dysentery or typhoid fever, abstinence from food is absolutely imperative.
Its observed effect upon the brain-cells was that of wide-spread destruction. Infections. For example, in fatal infections resulting from bowel obstruction, in peritonitis, and in osteomyelitis, the real lesion is in the brain-cells.
"The point of rupture formed adhesions, the natural drainage of the peritoneal ichorous focus ceased, perhaps a new influx of inflammatory material from the perforated appendix also took; place. There was a fresh relapse of the local peritonitis which extended beyond the boundaries of the limiting adhesions, and permitted the invasion by bacteria of the free abdominal cavity.
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