File:An American text-book of obstetrics. For practitioners and students (1897) (14581445810).jpg

Identifier: americantextbook00norr (find matches)
Title: An American text-book of obstetrics. For practitioners and students
Year: 1897 (1890s)
Authors: Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-
Subjects: Obstetrics Obstetrics
Publisher: Philadelphia, W. B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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found in five cases of puerperal peritonitis inthe fluid contained in the abdomen a streptococcus which was identical withFehleisens streptococcus of erysipelas and with Rosenbachs streptococcus ofsuppuration, and similar streptococci were found in phlegmonous abscesses inother diseases. Lustig of Turin3 found this same streptococcus in the bloodof the spleens and the hearts of women who died from puerperal endometritisand peritonitis. Bum in,4 who made extensive researches with ample material, likewisearrives at the conclusion that the streptococci found in puerperal infection areidentical with those found in infected wounds. Mironow5also identified thestreptococcus of erysipelas with that gathered from the uterus of sick puerperalwomen. Doyen, dishing, Bumm, and others6 found that puerperal infection maybe due to other cocci. Doderlein 7 found the streptococcus pyogenes to be themost important, but, besides, that the pyogenic staphylococci are active. PUERPERAL INFECTION. Plate 44.
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Specimen from a patient who died septic, showing the material that would be found to be removed bythe curette or the finger on the roughened placental site. Clots in the uterine sinuses (Army MedicalMuseum, Washington, D. C., No. 10,619). PATHOLOGY OF THE PUERPERIUM. 685 Puerperal fever, so called, is therefore not a nosological entity, but is acomplex phenomenon due to different microbes. Different Forms of Infection.—First of all, we must distinguish betweenmere local affections and a general infection reaching the whole system. Theformer are, of course, much less dangerous than the latter. Next, we mustseparate the putrid from the genuine septic infection, both of which may belocal or be general. General putrid infection is called sapremia, and generalseptic infection is called septicemia. Putrefaction and sapremia are due to many different schizomycetes, the so-called saprophytes—minute organisms which are allied to algse, and are foundall over the world in streams, plants, an

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