Gastrostomy for Stricture of the OEsophagus
Authors: J. Fagan
Journal: BMJ (1884)

TH-BRITIS MDICAL JOURtNAL (Oct.4, 1W. 4. The effects of these micrococci on rabbits and man were not similar, some of the most virutlent forms for rbbits causing no dele- terious effect ini wounds in man.5. The kidany is apparently an important excreting organ for organisms.6. Organismns not capable. of growing in the blood may yet cause serious effects by growilg ill the excretory canals.This may ex- plain some eass of pyelitis.7.Where an organiisml is not markcdly pathogenic, it may be ne- cessay to introduce a large, quantity bTeore morbitl chalges are set up.S. Bunuration is inot always due to micrococci; it mny be caused by chemic.alirritants, sach as croton-oil.9. Micrococci are always present in acute abscesses, and are pro- bably the cause of them.10.In some eases, the inicrococci are the primary cauise of the in- flammationi and(l suppuration, as in pMV111lic abscesses; generally, how- ever, thyc begin to act after iiinatlanunationi has been previously induced.11.This inflamiimation mav le caused lb an in,jury, by the absorption of chemically irritating substances frontl wounds, by cold, etc. 12.There are several dilrerenit kinids of miirococei associated with suppuration.13. Micro.occicause suppuration by thie production of a chenmically irritating substance, whiich, it applied to tlle tissues in a concentrated form, causes necrosis of thie tissuie, but, if more dilute, causes inflam- mation and suppuration.14.The conditions in wounds andl abscesses are not the same inasmuch as in the formlier there is opporttnity for mechanical and chemical irritants to work.15.There is no reason for dlenying the existence of 11 antiseptic suppuration."16. Tensioni miiay also cauise suppuration, but it is perhaps most frequently aided by the growth of inicrococci.These organisms need not be of a very virulent kindl.It is also probable that the prodcits of inflammation are themselves irritating and capable of exciting or keeping up inflammationi.17.The micro-organismss of septiTermia, of pymemia, and erysilpelas, are different from onie anotlher andt' fromi those of abscesses.In erysipelas, the micrococci grow in the lvmplhatic spaces.In pycmini, they grow in the llood to form colonies and enmboli.In septicanmia, they may only grow locally, the symptoiiis being due to the absorption of their ptomaines; or if thev grow in the blood they do inot formi colouies and eniboli.Septie-winia may also be due to other organisms besides iierococci 18.There are no facts to support the view that it is the same micro- coccus which, unider differenit coniditions, causes tleis various diseases.The experiments of conversion of ininocenIt into malignant forms, and vicf tcrsa, are unireliable.E3RnArT.-In the first part.page t.556, Series 1ll, Table B, seventh linie, instead of m 1" read "i in 15."In the secondil tart, page ttOO, Series iv, Table C, under Result," first anid second lines, leave out " Microsco pic appearanees."P'age 602, in description of Fig. S, real II In tlhe corner," etc.In the samiie page, the sixth line fron, the top has become displaced, antd ouighit to) come b)efore the fotirth linle.The two sentences re.a-d as follows: " Whert this necrosis is coinplete in the im- mlediate ,icinity of the imiass, the epithelinim of the tubules, and intdeed all the tissue around, remailns unstainied and partially invisible.I have, hmwever, after careful stuidy of niumiierous sections, conviniedtl myself that biy far the greater m:jt,rity of the ma1Xsses are in the uriniarv tubules."Dr. KocH has deelined an invitation to Leipsic U'niversity as suc- cessor to the late Professor Coohnheim.ATBurLANcE CLAsSES..-A class at Park-hurst Prison, Isle of