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Updated: June 3, 2025
This was further illustrated by the important fact, that hospital gangrene, or a disease resembling this form of gangrene, attacked the intestinal canal of patients laboring under ulceration of the bowels, although there were no local manifestations of gangrene upon the surface of the body.
Heart clots were very common, if not universally present, in cases of ulceration of the intestinal mucous membrane, while in the uncomplicated cases of diarrhea and scurvy, the blood was fluid and did not coagulate readily, and the heart clots and fibrous concretions were almost universally absent.
The most commonly employed are vinegar, acetic acid, carbolic acid, nitric acid, and carbonate of sodium; but tramps frequently use sorrel and various species of ranunculus. The lesions simulated are usually inflammatory in character, such as erythema, vesicular and bullous eruptions, and ulceration of the skin.
The caustic must not, therefore, be applied in these cases, until the inflammation has entirely subsided; but when there remains only a small superficial ulceration, the caustic may be passed lightly over the ulcerated surface to form an eschar which is to be defended by the gold-beater's skin; for the affection is then reduced to the state of a common superficial ulcer.
It travels under doors and through window sashes, and a patient is obliged, whether he will or no, to swallow a certain amount of it daily. Nevertheless the South African dust does not appear to be so bacillus-laden as, e.g., that of Atbara Camp, which, amongst other evil effects, continually produced ulceration in the mouth and throat.
The process of ulceration may be defined as the molecular or cellular death of tissue taking place on a free surface. It is essentially of the same nature as the process of suppuration, only that the purulent discharge, instead of collecting in a closed cavity and forming an abscess, at once escapes on the surface.
But as the stumps of harpoons are frequently found in the dead bodies of captured whales, with the flesh perfectly healed around them, and no prominence of any kind to denote their place; therefore, there must needs have been some other unknown reason in the present case fully to account for the ulceration alluded to.
There may be a slight inflammation or actual ulceration and loss of tissue. Vegetations more or less constantly occur on the inflamed surfaces, with more or less danger of particles becoming loosened and moving free in the blood stream, causing embolic obstruction in different parts of the body.
If the ulceration is deep in the ear, and there is not a very great degree of apparent inflammation, recourse may be had at once to a stimulating and astringent application, such as alum or the sulphate of zinc, and in the proportion of six grains of either to an ounce of water.
They came to spend the latter part of the summer at Etretat, and people would go out of curiosity every morning to see them taking their bath at the Etablissment des Roches-Blanches. Five or six days ago Bapu Sahib Khanderao Ghatay was taken with pains in his gums; then the inflammation spread to the throat and became ulceration.
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