Again, though sometimes the part escaped destruction by gangrene, even then its cure was often difficult owing to the fact that, where the malady had been neglected, worms made their appearance in the ulcers[163], and set up so profuse and so far spreading a suppuration that the patient eventually succumbed to it. Of this we have an example in the Emperor Galerius Maximianus, mentioned by _Eusebius_[164], and to which allusion is made as early as in the Book of Ecclesiasticus (XIX. 2, 3.), when the Author, Jesus the son of Sirach, says: “Wine and women will make men of understanding to fall away: and he that cleaveth to harlots will become impudent. _Moths_ (_otherwise[165]—Rottenness and worms_) shall have him to heritage, and a bold man shall be taken away.” The use of knife and actual cautery must naturally have played an important part under these circumstances in the treatment adopted; but these the patient often dreaded more than the malady itself, and chose suicide rather than submit to them, like the “Municeps” whose story Pliny tells in the passage quoted in a previous chapter. But now supposing suchlike ulcers to be situated in the mouth of a _fellator_ or _cunnilingue_, then their course must have been all the more rapid, and the danger involved all the greater, if the patient lived in such a climate as described; and it was in this way the Αἰγύπτια καὶ Συριακὰ and Βουβαστικὰ ἕλκεα (Egyptian and Syrian sores, Bubastic sores) mentioned above acquired their evil repute. Still in the majority of cases these climatic influences could be counteracted by appropriate medical aid and dietetic measures, or at any rate their effect considerably reduced. Hence it was that cases of the sort only very rarely appeared in Antiquity, and for this very reason were noted by the Historians, when they did occur.