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Updated: June 16, 2025
In all advancing purulent conditions, in septic poisonings, in pneumonia, and in cancerous growths associated with ulceration, a certain number of the polynuclear leucocytes are stained a brown or reddish-brown colour, due to the action of the iodine on some substance in the cells of the nature of glycogen.
A case of double urethra in a man of twenty-five living in Styria who was under treatment for gonorrhea is described, the supernumerary urethra opening above the natural one and receiving a sound to the depth of 17 cm. There was purulent gonorrhea in both urethrae. Vesalius has an account of a double urethral aperture, one of which was supposed to give spermatic fluid and the other urine.
In the horse and the dog it is often unaccompanied by any previous indisposition, or by other disease; but suddenly there is a copious discharge of saliva, at first limpid and without smell, but soon becoming purulent, bloody, and exceedingly fetid. On examination, the tongue is found apparently enlarged.
The dog that coughs violently at the commencement of the disease, employs himself, probably, on the following day, in ejecting, by a forcible expulsion from the nostrils, the purulent secretion which is soon and plentifully developed. When he is lying quiet, and even when he seems to be asleep, there is a loud, stertorous, guttural breathing.
The dog breathed with considerable difficulty, and occasionally snorted with the greatest violence, and bloody purulent matter was discharged; after which he was somewhat relieved; but, in the course of a few days, the obstruction was as great as ever. I am not aware of a single instances of this affection of the pug being completely removed.
When the primary lesion has taken the form of an open ulcer with purulent discharge, or has sloughed, there is a permanent scar. Infection of the adjacent lymph glands is usually found to have taken place by the time the primary lesion has acquired its characteristic induration.
There had been an amputation at the shoulder-joint, a foot had been taken off, a humerus resected; but would gangrene or purulent contagion be clement and spare the patient? Or else they had been burying some one of their inmates, most frequently a Frenchman, now and then a German.
There was purulent pleurisy with a considerable pocket of pus, and purulent false membranes on the walls of the pleura. The liver was bleached, fatty, but of firm consistency, and with no apparent metastatic abscesses. The uterus, of small size, appeared healthy; but on the external surface whitish nodules filled with pus were found.
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.
Around each colony of actinomyces is a zone of granulation tissue in which suppuration usually occurs, so that the fungus comes to lie in a bath of greenish-yellow pus. As the process spreads these purulent foci become confluent and form abscess cavities. When metastasis takes place, as it occasionally does, the fungus is transmitted by the blood vessels, as in pyæmia. Clinical features.
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