The Journal of Infectious Diseases, Vol. 10: Published by the Memorial Institute of Infectious Diseases (Classic Reprint) - Softcover

Ludvig Hektoen

Softcover

ISBN 10: 1331945046 ISBN 13: 9781331945048

Publisher: Forgotten Books, 2018

Synopsis

Excerpt from The Journal of Infectious Diseases, Vol. 10: Published by the Memorial Institute of Infectious Diseases

On section of the tissues behind and to the left of the abscess a number of veins are cut across which are filled with adherent clots. No evidence of portal thrombosis is' found.

The spleen is enlarged, soft, and contains a light-colored, wedge-shaped area (2x2x1 cm.) surrounded by a hyperemic zone.

The liver shows a moderate infiltration of fat and passive congestion.

The left pleural cavity is free from fluid. Fibrous adhesions are bound over two medium-sized, wedge-shaped areas on the left upper lobe and over the greater part of the lower lobe. The latter is the seat of a large abscess, containing approximately 500 c.c. Of a blood-stained, chocolate-colored, intensely fetid pus. The inner and anterior walls are ragged, irregular, and surrounded by compressed lung, while the lower wall is largely made up of diaphragm. Two wedge-shaped areas of the left upper lobe show softening in the center and are filled with foul smelling pus. An abscess corresponding to the one in the left lower lobe is found just above the dia phragm in the right lower lobe and contains fully 300 c.c. Of a similar pus. Four wedge-shaped areas like those found in the left upper lobe are found in the right lung. Cross-section at the apex of some of these areas shows one or more veins filled with adherent clots. No direct communication between the abscesses of lungs and the retrocecal abscess was found.

The stomach, intestines, mesenteric lymph-glands, kidneys, adrenals, pericardium, endocardium, and myocardium show no noteworthy changes.

Microscopic examinations of sections of the wall of the large abscess shows it to consist of necrotic tissue surrounded by granulation tissue and compressed lung, infiltrated with leukocytes. The wedge-shaped areas consist of a central necrotic material surrounded by a hyperemic zone with infiltration of leukocytes.

The liver shows a marked fatty infiltration, a definite increase in interstitial tissue, and passive congestion. No noteworthy change was found in the rest of the organs.

About the Publisher

Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com

This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

About this title

Product Description

Excerpt from The Journal of Infectious Diseases, Vol. 10: Published by the Memorial Institute of Infectious Diseases The Bacillus fusiformis, the anaerobic organism found so frequently in pathological lesions. nearly always occurs in conjunction with aerobic bacteria and some authors even question its pathogenicity. The following case is reported because, so far as we can determine, it is the first fatal general infection caused by this bacillus alone. The essential facts of the clinical history are as follows: The patient, a middle-aged man. died from pyemia following an attack of appendicitis. Early operation was refused. An operation five weeks later by Dr. Bevan, to whom we are indebted for the opportunity to make this study, revealed a small pericecal abscess containing a sloughed appendix. Drainage at this time failed to check the septic temperature which the patient had had for some time previously and which continued until death six weeks later. Repeated blood examinations showed a leukocytosis of from 14,000 to 22,000. Three blood cultures were negative. Of these the third was kept under anaerobic conditions. A number of needle punctures of the liver failed to show liver abscess. One month before death metastatic abscesses began to appear over the thigh and tibia and two weeks before death the patient coughed up a large amount of a foul smelling pus. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve

Edition details

• Publisher: Forgotten Books
• Publication date: 2018
• Language: English
• ISBN 10: 1331945046
• ISBN 13: 9781331945048
• Binding: Paperback
• Number of pages: 476