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Updated: June 17, 2025
J.G. Milne from hospital at Alexandria brought us the bad news that Major Jowitt had died of septic poisoning on the hospital ship Rewa on 17th July, while on the passage to Alexandria, and that Major Downie, who had been on the same ship, had succumbed to his wounds in hospital on the 20th the day after being landed.
But, if oxygen destroys the vibrios, how can septicemia exist, since atmospheric air is present everywhere? How can such facts be brought in accord with the germ theory? How can blood, exposed to air, become septic through the dust the air contains? All things are hidden, obscure and debatable if the cause of the phenomena be unknown, but everything is clear if this cause be known.
Leucocytosis is met with in nearly all acute infective diseases, and in acute pyogenic inflammatory affections, particularly in those attended with suppuration. In exceptionally acute septic conditions the extreme virulence of the toxins may prevent the leucocytes reacting, and leucocytosis may be absent. The absence of leucocytosis in a disease in which it is usually present is therefore to be looked upon as a grave omen, particularly when the general symptoms are severe. In some cases of malignant disease the number of leucocytes is increased to 15,000 or 20,000. A few hours after a severe hæmorrhage also there is usually a leucocytosis of from 15,000 to 30,000, which lasts for three or four days (Lyon). In cases of hæmorrhage the leucocytosis is increased by infusion of fluids into the circulation. After all operations there is at least a transient leucocytosis (post-operative leucocytosis) (F.
"The house seems all right, but you can't be sure from the outside. Heating system could be shot. Septic system might not be any good." "I'll make an offer contingent on the inspection," she said. "Steve will find anything that's wrong. He does a radon check and all that. Costs about three hundred, I think. Three-fifty, maybe." "Worth it," Oliver said.
The process of ulceration by which the cord falls off leaves an open surface on the child's body which offers an avenue for septic infection. Great care must therefore be taken that the nurse's hands or anything which comes in contact with this surface should be perfectly clean. The dressings used must be thoroughly antiseptic.
Nothing is easier than the production of these germs, in spite of the presence of air in contact with septic fluids.
As a rule, the patient suffers little discomfort, and may even be ignorant of the existence of the lesion, unless, as a result of exposure to mechanical or septic irritation, ulceration ensues, and the sore becomes painful and tender, and yields a purulent discharge. The primary lesion may persist until the secondary manifestations make their appearance, that is, for several weeks.
The tale of troubles due to adenoids is not even yet exhausted; a considerable amount of discharge collects about them which it is not easy to clear away, it undergoes very undesirable changes, and is then swallowed to the great detriment of the stomach and the digestion. The removal of septic tonsils and of adenoids is most urgently necessary, and usually involves little distress or danger.
They have slain "frostbite" with lanoline, turpentine, and a change of socks; they have fought septic wounds with chloride of sodium and the ministries of unlimited oxygen; they have defied "shock" after amputation by "blocking" the nerves of the limb by spinal injection, as a signalman blocks traffic.
Cellulitis of the axilla may originate in suppuration in the lymph glands, following an infected wound of the hand, or it may spread from a septic wound on the chest wall or in the neck. In some cases it is impossible to discover the primary seat of infection. A firm, brawny swelling forms in the armpit and extends on to the chest wall.
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