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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