This term is applied to any toxic condition caused by the invasion of
the blood by pathogenic micro-organisms, with or without any visible
site of infection.
=Etiologically=, the micrococci, streptococci, pneumococci, or
staphylococci, as to frequency, in order named, are the cause. The
infection is usually introduced by a wound, of any degree of severity.
The uterus is a frequent seat following miscarriage, parturition or
operation. The virus may be absorbed by the mucous membrane. It may
also arise from infection of the deeper tissues. =Pathologically=,
the changes are not marked, but consist in brownish color of the
muscles, ecchymotic spots in the pia mater and dark appearance of the
blood, which is also less coagulable. Spleen, liver and lymphatics are
enlarged with some changes in the other organs.
=Symptoms.=—The incubation period is from four to six days and the
onset is gradual, though often announced by a distinctive chill,
followed by a profuse sweat. The most common type is the continuous
form of fever, which may, in morning remissions, become subnormal.
Pulse is rapid at the beginning, but as cardiac failure comes on,
it becomes weaker. In the earlier stages there may be vomiting with
diarrhea later. There are punctiform hemorrhages of the skin and
possibly other eruptions. Blood examination will settle any doubt as to
diagnosis.
=Prognosis= is good in large percent of cases and depends upon the
general health of the patient.
=Treatment.=—“Incise and drain the infected part; if possible, apply
hot boracic acid compresses or keep part suspended in hot boracic acid
solution. Osteopathic treatment will aid materially in stimulating
and strengthening the patient. Bowels, kidneys and skin must be kept
active. Normal salt solution, hypodermically or per rectum is of value.
Diet should be liquid, fruit juices, broths, soups until temperature
has remained normal twenty-four hours then milk, eggs etc., in
gradually increasing amounts until general diet is restored. Amputation
of the part may be necessary.”—L. E. BROWNE.