The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
_Bacillus Pyocyaneus._--Distinctly green or blue in tint.
_Bacillus Tuberculosis._--Thick, curdy, white paste, or thin, greenish,
with small, cheesy lumps or even with bone spicules.
_Actinomycis._--Thick, brownish white, with small, firm, gritty or
chalky nodules of yellow color.
_Ameba Coli._--Thick, brownish red.
BACTERIAL DETERMINATION AS AN INDICATION IN TREATMENT.
There is a practical side of great importance pertaining to the
recognition of the nature of the infectious organism in many cases
of suppuration and abscess. For instance, pus which is due to
streptococcus invasion indicates a collection which should be freely
evacuated and carefully drained. This is also true in essential
respects of staphylococcus pus, particularly that due to the
streptococcus aureus. Putrid pus from any source requires disinfection
and free drainage, the former preferably perhaps by hydrogen dioxide.
Pus which is due to the colon bacillus is not often extremely virulent,
which accounts for so many cases of appendicitis recovering with or
without operation. A collection of this pus needs little more than
mere drainage and opportunity for escape. Pus from a recognizable
tuberculous source may still contain living tubercle bacilli. This
means either that the cavity whence it came should be completely
destroyed and eradicated, or else that the margins of the incision
or opening through which it has escaped should be so cauterized that
infection of a fresh surface is impossible. The same is true of
abscesses due to glanders bacilli and to certain cases of suppurating
bubo following chancroid, where the whole course of events shows the
virulent character of the organisms at fault.
SUPPURATION.
Although it may be possible to produce in certain laboratory
experiments metamorphosed material which very closely simulates pus,
or, in fact, by injection of chemical irritants, to sometimes imitate
the suppurative processes, nevertheless, the student should be brought
face to face with the statement, to which for surgical purposes there
is no practical exception, that suppuration, _i. e._, _formation of
pus, is due to the presence in the tissues of the specific irritants
already catalogued and described, and of the peculiar peptonizing or
other biochemical changes which bacteria exert upon living animal
cells_.
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