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mer tends to produce a spreading suppurative process or diffuse phlegmon or abscess. Thermal death point, 80° C. (176° F.); in one-in-forty carbolic acid, in one Differin Gel Online minute. Staphylococcus Pyogenes Aureus (4). — This has Differin Oily Skin been styled the ubiquitous Differin For Acne Scars pus germ, as it is present in about eighty per cent, of all suppurating cases also on the skin, Differin Lotion Coupon mucous membranes, clothing, and hands, parti-nilarly beneath Differin Canada and around the finger nails. Thermal death point, 80° C. (176° F.); in one-in-forty carbolic acid, in one minute. Colon Bacillus. — This is found chiefly in the feecal discharges, on the perinseum, and about the anus. In certain morbid conditions it penetrates the wall of Differin Xp Gel the Differin Gel Buy colon, and even the walls of the uterus. Haven (5) reported a case of puerperal sepsis in which the chill occurred twelve hours after the delivery. He believed the woman was in a septic condition at the time of labor, on account of the rapid development of the dis- ease. In this case the colon bacillus was found to be the cause. Differin Vs Epiduo Von Franque (6) reported a case in 1893, of moderate severity, in which he found a pure culture of the colon bacillus in the uteriis, unaccompanied by any other organisms. Differin Adapalene Cream 0.1 These are the only cases I can find reported as due to the colon bacillus. When we consider the proximity of the parts inhabited by this organism to the parturient canal, it is rather surprising that Generic Differin Gel it is Order Differin Online not more frequently found there than it is. Gonorrhosa. — Mr. Lawson Tait Differin And Acne Scars and his disciples have probably been the first and most enthusiastic in draw- ing the attention of the profession to the great danger of gonorrhoea to the parturient woman, and in this they have attached all the blame to the gonococcus. Up to this date I have only been able to find twelve cases reported as due to the gonococcus. Nine of these were reported by Kronig (7), in connection with his clinic at Leipsic, and are, no doubt, thoroughly reliable, as the work Differin Gel Generic was done under the supervision of Dober- lin, who is an expert bacteriologist as well as obstetri- cian. Kronig stated that these cases were all very mild and recovered without treatment. All the cases re- ported as probably due to the gonococcus were very mild indeed, and recovered without treatment. Now, Coupon For Differin Gel for the disastrous results spoken of by Tait, Ross, and others, we must look to some other source than the gonococcus itself. Sternberg, Crookshank, and others have shown that in the late stage of gonorrhcea the staphylococctis is nearly always present, and is prob- ably the cause of the suppuration in the Where To Buy Differin Gel inguinal glands, prostate, in the Joints, and endocardium. Some authorities claim to have found the gonococcus in these secondary conditions, but Sternberg thinks they are not authenticated cases, and considers the Staphylococcus pyogenes as the most likely cause. The streptococcus is also not infrequently present in the late gonorrhceal discharges. It seems to me, then, that we are justi- fied in Buy Differin Gel 0.3 concluding that the great danger lies in the gonorrhceal pus, and not in the gonococcus itself. Xov. 20, 1897.] BASTINOS: SEPTIC/EMIA IN THE PUERPERIUM. 703 Bacteriological investigators give the same results in all sources of infection in the puerperium. Why do we dread diphtheria? Principally because almost Epiduo Vs Differin invariably in this disease we have the strepto- coccus, or staphylococcus, or both. These organisms are also the danger of contamination with suppurating wounds. Also in the muco-purulent discharges from the nose, as in the celebrated case of Dr. Eutter, of Buy Differin Gel Online Philadelphia, who had forty-three cases of septicemia, all the result of a mucopurulent coryza. These organ- isms have been shown to be almost constantly present Buy Differin Cream in the discharges from the nose. Erysipelas. — Here the streptococcus, morphological- ly and pathologically, is identical with the Streptococcus pyogenes of septiciEmia. Scarlet Fever. — The erythematous condition of the skin, or the septic rash, which is frequently present in severe cases of septicaemia, explains in a great measure the extreme susceptibility the parturient woman was supposed to have to scarlet fever. If we glance for a moment at the bacteriology of this disease we will find the soiirce of danger satisfactorily ex- plained. Micro-organisms in cases of scarlet fever have been observed by several of the most distinguished bac- teriologists. Bacilli, cocci, and streptococci have all been found in the organs of the throat, yet Crook- shank (8) is inclined to think that these may not neces- sarily be the organisms of scarlet fever, but diphtheritic or septic associates.

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