Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 55 of 798 (06%)
page 55 of 798 (06%)
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inflammation of serous and synovial membranes, also with a form of
pneumonia which is prone to follow on severe operations in the mouth and throat. Streptococci are also concerned in the production of spreading gangrene and pyæmia. Division takes place in one axis, so that chains of varying length are formed (Fig. 3). It is less easily cultivated by artificial media than the staphylococcus; it forms a whitish growth. [Illustration: FIG. 4.--Bacillus coli communis in Urine, from a case of Cystitis. à1000 diam. Leishman's stain.] _Bacillus Coli Communis._--This organism, which is a normal inhabitant of the intestinal tract, shows a great tendency to invade any organ or tissue whose vitality is lowered. It is causatively associated with such conditions as peritonitis and peritoneal suppuration resulting from strangulated hernia, appendicitis, or perforation in any part of the alimentary canal. In cystitis, pyelitis, abscess of the kidney, suppuration in the bile-ducts or liver, and in many other abdominal conditions, it plays a most important part. The discharge from wounds infected by this organism has usually a fÅtid, or even a fæcal odour, and often contains gases resulting from putrefaction. It is a small rod-shaped organism with short flagellæ, which render it motile (Fig. 4). It closely resembles the typhoid bacillus, but is distinguished from it by its behaviour in artificial culture media. [Illustration: FIG. 5.--Fraenkel's Pneumococci in Pus from Empyema following Pneumonia. à100 diam. Stained with Muir's capsule stain.] |
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