This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 Excerpt: ... preventive treatment against the spread of ulcers upon a patient by spontaneous auto-inoculation is destruction of the poison at its source, that is to say, cauterization of the chancroid, or the most absolute cleanliness if total destruction be impossible. Chancroid owes its prolonged existence to its microbic ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 Excerpt: ... preventive treatment against the spread of ulcers upon a patient by spontaneous auto-inoculation is destruction of the poison at its source, that is to say, cauterization of the chancroid, or the most absolute cleanliness if total destruction be impossible. Chancroid owes its prolonged existence to its microbic virulence. Destroy that virulence thoroughly and the poisonous quality at once disappears, the ulcer becomes a simple sore, and the process of repair begins. Unless a chancroid is very young, it is apt to return after being cauterized. It is possible to excise completely a chancroid, including half an inch of surrounding tissue, and even though scrupulous care has been employed, it may return at the site of the excision. Some old chancroids certainly do not get well after the most extensive cauterization. This is notoriously true of serpiginous phagedenic sores, but is not the case with recent chancroid. Such an ulcer may be cauterized thoroughly aud lose entirely its chancroidal character. In an old chancroid, however, the micro-organisms have infiltrated the tissues for a certain distance beyond the base of the ulcer, and cauterization does not reach them. If the ulcerated surface is destroyed, it becomes reinfected by poison brought from beneath; and for the same reason when the prepuce is the seat of chancroid, the wound of circumcision frequently becomes poisoned, in spite of such precautions as burning the chancroid previously to the ablation of the foreskin and perfect cleanliness during and after the operation. That the poison in ordinary cases dies out after a few weeks and is eliminated, while in other cases of advancing phagedaena it seems able to perpetuate itself almost indefinitely, is largely accounted for by unhygienic conditions, un...
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