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

  • William Walsham
Date:
1889
Catalogue details

Licence: Public Domain Mark

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

    149/864 page 133
    IS infective; that is, the disease can be transmitted from animal to ammal by the blood, and there is strong evidence, conclusive in some forms of infective diseases, tliat the mfection is capable of being conveyed from patient to patient. Micro-organisms in large numbers are found m the blood and in the tissues immediately after death. Eoth septic and infective diseases may occiu- simul- taneously m the same subject; thus, a specific vii-us may .set up a localized infective inflammation in the wound and the septic in-oducts of this may be absorbed into the sy.stem either with or without the specific virus. These_ diseases, whether se2'>iic or infective, may be cbvided into the local and the general: that is, the iioison may set up local mischief, which may or may not be loilowed by general poisoning of the system; or the whole system may be primarily aifected, any local mischief that may occiu- m the wound being merely of secondary con- .sequence. To take the sejMc diseases first, or those due to putre- faction or to fermentation. As a local affection there is >^epiic inflammation, a .spreading inflammation attended with suppuration and due to the local irritation of the chemical products formed by the putrefaction or fermenta- tion of the discharges m an imperfectly drained or unpro- tected wound (see p. 11). As general affections there are, —1. bepticAramnatic fever, a general disease produced by the absorption of a moderate dose of the chemical products of putrefaction or fermentation from a septic woimd. -. Jlectic fever, a constitutional condition attending pro- onged suppm;ation, and probably induced by the con- tinued absorption of the septic poison in small quantities at a time. _ 3. Saprmnia or septic intoxication, a severe and otten rapidly fatal foi-m of blood-poisoning due to the absorption of a large dose of the septic poison, and there- tore to bo regarded as a more intense form of septic tha™i kimr^' ''^^^'^^ce being one of degree rather The diseases, or those depending upon inicro- Srnr'Vi^r^ be similarly divided into tlio local and the fecnciai. Iho local are, 1. Traumatic erysipelas, an acute nitcctive .spreading inflammation secondarily affectin- the em and probably due to inoculation ll the wound ^ith the micrococcus erysi])olatosus. 2. CtUidar erusinela, ov diffuse celMitis, a spi-eading inllain.natiL of the 'con-
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