The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
Iodine, alone or in combination, has been found efficacious in the
therapy of actinomycosis. In diluted solutions used locally, or as
potassium iodide given internally or injected into tumors, it doubtless
has a beneficial effect during the period of its administration.
Recent reports and experiences show that great value attaches to the
use, as suggested by Bevan, of copper sulphate in the treatment of
actinomycosis, its use having been suggested by the fact that copper
is used to destroy rusts (fungi) on grain. One-half grain (3 Cg.) may
be given internally three times a day, while the sinuses are irrigated
with a 1 per cent. solution. I have seen apparently complete cure of
an aggravated case follow its use. Incidentally it may be stated that
Bevan advises its use also in cases of blastomycosis.
MADURA FOOT.
While _madura foot_ is not a disease from which domestic animals
suffer, its general characteristics make it a proper subject for
brief consideration. It is essentially a disease of the tropics and
subtropics, and is often seen in some of our new possessions.
It commences as a painless swelling upon either aspect of the foot, in
which hard nodules form, which later soften, ulcerate, and discharge
puruloid material containing granules in which the microscope reveals
mycelia of the peculiar fungus that produces the disease. In some cases
these particles are black, in others colorless. The disease is of slow
progress, and the lower limbs become weak, atrophied, and finally
useless Death results from exhaustion or some terminal infection.
The principal lesion is the slowly growing gumma or granuloma, whose
presence is unmistakable. This is due to the presence of a fungus,
called by Vincent the _streptothrix maduræ_. Thus in its pathology the
disease much resembles actinomycosis. The habitually bare feet of most
of the inhabitants of the tropics and the habitat of the fungus explain
the site of the primary lesion.
=Treatment.=--The only _treatment_ is extirpation of the growth--_i.
e._, amputation.
[Illustration: PLATE VI
Tuberculosis of Testicle.
Miliary Tubercle with Caseation and Giant Cells. (Gaylord and Aschoff.)
_a_, seminal tubules; _b_, giant cells; _c_, caseated tubercles.]
CHAPTER IX.
SURGICAL DISEASES COMMON TO MAN AND THE DOMESTIC ANIMALS (CONTINUED).
TUBERCULOSIS.
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