Surgery : its theory and practice / by William Johnson Walsham.

  • William Walsham
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.

    154/898 page 138
    The bacillus may enter the system through a wound or abrasion of the skin, a pustule occurring at the point of inoculation. The disease may then remain localized, or the bacillus may enter the blood and there raj)idly multiplying give rise to a true septicremia or heemic infection. At times the bacillus is absorbed directly into the blood through the alimentary or respiratory mucous membrane without any external manifestation, and sets ap similar constitu- FiG. 39.—Malignant pustule. From a case under the care of the late Mr. Morraut Baker. tional symptoms, the affection being then known as WooIsorter''s Disease. (See a work on Medicine.) Symptoms.—A red itching pimple is first noticed, generally at the situation of a slight scratch or abrasion of the skin, on the face or somB_other e^^ The pimple soon becomes converted into a vesicle, whilst the surrounding tissues become red and brawny. Gangrene occurs at the focus of inflammation, and around this a ring of secondary vesicles forms. Thus, when the so-called pustule is fully developed, it presents a very characteristic appear- ance (Fig. 39). In the centre there is a diy black slough, around this a ring of vesicles, and around this again an area of redness, brawny induration and much oedema. There is, however, but
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