Therefore we should always carefully examine the clothing, and look for any loss of substance at the apertures of entry, and more especially in the fractures themselves. When there is extensive loss of substance in the clothing it is prudent, as a preventive measure, to relieve all constriction at the orifice of the wound, and, still better, to immediately search for the projectile, which very often would tend to prevent the exit of the pieces of clothing, the primary sources of the infection. The latter is excellent. Permanganate and Hydrogen peroxide should always be made use of in wounds that have teell soiled by earth. Application of too irritating dressings, occlusion of grounds by plugging, both tend to encourage its appearance.
Vexatious explorations open up a passage to streptococci.
The wound becomes dry during the progress of the lymphangitis. There is fever, and the general condition is had. Diffuse abscesses, secondary haemorrhage, and sphacelus, are among the consequences. Isolation is important. In cases of lymphangitis and of erysipelas, Souligoux first washes the limb, then rubs it with a soft brush, removes the soap with alcohol, and finally applies a dressing of cotton-wool soaked in ether, which is changed when necessary.