Jelentés az 1894. szeptember hó 1-töl 9-ig Budapesten tartott VIII-ik Nemzetközi közegészségi és demografia congressusról és annak tudományos munkálatairól... Tome 1 / Szerkesztette dr Gerlóczy Zsigmond ... Huitième Congrès international d'hygiène et de démographie, tenu à Budapest du 1 au 9 septembre 1894. Comptes-rendus et mémoires. Pub. par le Dr Sigismond de Gerlóczy.

  • International Congress of Hygiene and Demography
Date:
1895-1896
Catalogue details

Licence: Public Domain Mark

Credit: Jelentés az 1894. szeptember hó 1-töl 9-ig Budapesten tartott VIII-ik Nemzetközi közegészségi és demografia congressusról és annak tudományos munkálatairól... Tome 1 / Szerkesztette dr Gerlóczy Zsigmond ... Huitième Congrès international d'hygiène et de démographie, tenu à Budapest du 1 au 9 septembre 1894. Comptes-rendus et mémoires. Pub. par le Dr Sigismond de Gerlóczy. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

    1053/1134 (page 699)
    The second form of abscess, which is a^so a common eífect of residence in hot climates, is chronic and may present no definite or active symptoms. It is slow and insidious from the commancement. There may be little or no pain, only perhaps a sense of weight in the side, and uneasiness in the right shouldcr, and perhaps somé cough. The pafient is generally somewhat out of health, with impaired appetite and digestion and somé loss of weight. After a time an abscess which had hardly been suspected, may declare itself by bursting through the lungs, or in somé other direc- tion, or may be discovered by aspiration. There is no doubt, that in somé cases an abscess becomes spontaneously ab- sorbed and cured. Clinical observation and Post Mortem appeararces have proved this. Or an abscess may become encysted with a firm organised lining membráné, and remain quiescent fór years, giving rise to no further symptoms. Or an abscess may open intő somé part of the bowel, and discharge its contents unnoticed, perhaps during an attack of Diarrhoea, and so gets well. This chronic form of abscess is most often met with, in those who have had a long residence in a hot climate. The third form of abscess commonly met with, is associated with] or directiy caused by Dysentery or other forms of bowel ulceration, and is due to Pyaemia or septic absorption from the unhealthy ulcers. In such cases the abscess is often mul- tiple, and numerous small abscesses may be found scattered through the liver. These septic abscesses are more daugerous, and much less amenable to operatíve treatment, than the common Tropical Abscess. Another form of Liver abscess, alsó usually associated with Dysentery is the Amcehc abscess, probably caused by the Amceba Coli or Dysenterica^ making its way intő the Liver and setting up abscess. This has during the last few years been carefully investigated, and described by Drs. Councilman and Lafleur in America, and has been found in the pus of Liver abscesses in India and Egypt, and quite recently by Dr. Manson, in a case of Liver abscess in a sailor treated in the Seamen’s Hos- pital in London. This amoeba may be found in the intestines, and in the pus of Liver abscess, in cases where no Dysentery has been present. The dependence of Liver abscess upon Dysentery is a question of great importance. Somé authorities, as Dr. Budd, have maintained, that Liver abscess is almost invariably caused by Dysen- tery or somé similar intestinal lesion, bút in India, although many cases are due to Dysentery, I am convinced, that in the majority of cases of Tropical Liver Abscess, it is nőt so. In European Hospitals in India abscess of the liver occurs in about 20<>/o of the cases of Dysentery, and of the deaths from Liver abscess nőt 300/o have a history of previous Dysentery. In many cases the symptom of Liver abscess precede those of Dysentery. In temperate climates alsó, as at Millbank Prison, where at one time very severe and fatal Dysentery was prevalent, Dysentery never caused Liver abscess. In many cases of Tropical Liver abscess the pus is sterilé, and contains no septic organism, and one may set it down that the common form of Tropical Liver abscess is nőt caused by Dysentery. The subject ofAmaebic abscess requires further investigation. Dr. Zancarol in Egypt, found the amoeba present in the pus in 5 out of 14 cases that he recently examined. An abscess of the Liver may approach the surface and be felt externally, or it may open intő the lungs, or stomach, or bowel and eventually get well, or it may open intő one of the adjacent serous cavities. By far the most favorable condition is, when the abscess can be opened externally, and Operation is the only satisfactory treatment of Liver abscess.