Postmortem infections should receive prompt surgical attention, as
the smallest one is dangerous and may develop in a few hours to such
an extent as to cause the most alarming constitutional symptoms.
In a way all autopsy work, like surgical operations, offers a
risk to the operator. This is particularly great in all cases of
pyogenic infection, tuberculosis, blastomycosis, syphilis and the
acute specific infectious diseases. Any of these infections may be
received through the unbroken skin by way of a hair-follicle; but
previous cuts, abrasions, hang-nails, etc., form a frequent avenue
of entrance for the infecting agent, as well as punctures, scratches
and cuts received during the autopsy from instruments, spicules of
bone, needles, etc. It is particularly dangerous to allow blood, pus
or exudates from the peritoneal or thoracic cavity to enter a glove
through a hole. A finger or hand so bathed is very likely to develop
hair-follicle infections. All wounds received during the autopsy
should be allowed to bleed freely, and then should be thoroughly
washed in sterile water, alcohol and ether and an antiseptic.
Tuberculous warts are very common on the hands of prosectors
having a large autopsy service and not using gloves. A generalized
tuberculosis may follow. These warts are easily removed by repeated
painting with fuming nitric acid, just sufficient to keep the skin
yellow. If this treatment fails such warts should be excised.
Syphilis has been reported only a few times as due to postmortem
infection; but observations tend to show that the spirochætes may
remain virulent for several hours (7-24) after death.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account