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Floxin Drops Otic Floxin







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Related post: systemic diseases whose etiology has been ob-
scure many be traced to mouth infections.
Pyorrhea alveolosis is the most common mouth
infection, and it is undoubtedly a mixed infection
— nearly all the cases show the presence of the
ameba buccallis. Dr. Barret found them in 42
consecutive cases. Dr. Barr in S.5 out of 87 cases,
and in our series in four cases where examined
for.
Pus from the pyorrheal cavities shows the pres-
ence of the streptococcus viridans in a large per
cent of the cases. Though this organism is of
low virulence, it can in time give rise to serious
disturbances. Inoculation experiments showed
lesions in "arteries, joints, kidneys and heart."
The alveolar abscess is another source from
which systemic disturbances may arise. Here
drainage is deficient and hence toxines and bac-
teria are taken up Floxin Otic directly by the blood. The
streptococcus viridans is the chief-offending or-
ganism — the pneumococcus and straphylococcus
are also found.
The diseased tonsils must not he forgotten as a
primary focus for constitutional symptoms. In
hypertrophic tonsilitis the same organisms are
usually found as in the pyorrheal cases, viz: the
ameba buccallis and the streptococcus viridans.
Sciatica a Symptom of Appendicitis. By B. M.
Randolph. Washington, D. C. Journal of the
American Medical Association, February 13,
1915, pp. 579-580.
The patient, a man of 48 years, presented Otic Floxin him-
self suffering from loss of w-eight, digestive dis-
turbance, cardiac palpitation and asthenia. He
gave a history of good health up to an illness
which occurred sixteen months tireviously, which
was accompanied by fever, and was diagnosed
"sciatic rheumatism" of the risht side. I was not
able to make a definite dia.gnosis of his trouble,
though he was more than satisfied with the re-
sults of the hygienic treatment he received. A
little over four years after the original attack,
he was taken with acute appendicitis, and was
operated upon a short time after the subsidence of
the acute stage.
A long appendix was foiiiul, with an old abscess
at its tip, adherent in the region of the upper
division of the lumbo-sacral cord, and a fresh
catarrhal appendicitis involving the proximal inch
and a half of the organ. Between these two le-
sions, there was a portion of norni,-\l appeiulix sev-
eral inches long.
The relation between the clinical picture and
the pathological findings seems very apparent.
The recent attack of apixuidicitis corresponded
to the involvement of the proxinuil portion of the
624
SOUTHERN MEDICAL JOURNAL
organ, while the attack of "sciatic rheumatism,"
occurring four years before, was in reality an ap-
pendicitis, with the formation of an abscess in
relation to the Buy Floxin fibres of origin of the sciatic nerve.
Syphilitic Ulcer of the Stomach. Report of a Case
Examined Histologically. By H. L. McNeil, Gal-
veston, Texas. Journal of the American Med-
ical Association, January 30th, 1915, pp. 430.
Syphilitic ulcer of the stomach, although said by
many to be of common occurrence, is rarely dem-
onstrated at operation or autopsy. The case re-
ported is that of a negro laborer, aet. 50, com-
plaining of pain in the epigastrium, appearing from
one-half to one hour after meals. Duration, three
months. Loss of weight. Xo history of syphilis,
although wife had one late miscarriage. Physical
examination negative except for tenderness in
epigastrium, slightly to right of mid-line. Blood
showed slight anaemia. Wasserman positive.
Gastric analysis showed a total absence of free
HCL. Total acidity 25. Occult blood, lactic acid
and Oppler Boas bacilli present. No definite im-
provement after two weeks antiluetic treatment
(Hg. plus K. L). It was decided to operate on the
chance of findiiig an early cancer of the stomach
At operation an indurated pylorus was found
with a general enlargement of the mesenteric and
gastric lymph nodes. A pyloric resection was
done. Examination of the specimen removed
showed a soft ulcer completely encircling the
pylorus. The edges were soft and undermined.
At one extreme end there seemed to be an at-
tempt at healing. Microscopically, the picture was
that of a degeneration, chiefly of the submucosa,
associated with a marked periarteritis, in which
the mononeuclear cells played Floxin Drops almost the entire
part.
Patient made a complete recovery and was
perfectly well from his stomach trouble eight
months after operation. (Thorough antiluetic
treatment including two injections of salvarsan.)
all exposed persons should be practiced as a m.eans
of prevention.
Epidemic Cerebrospinal Meningitis from a Bac-
teriological Standpoint. By K. R. Collins, At-
lanta, Ga. Journal of the Medical Association
of Georgia, February. 1015, pp. 292-293.
The writer calls attention to the importance of
establishing a correct bacteriological diagnosis be-
fore treatment by anti-toxin is instituted in cases
of cerebro-spinal meningitis, supposed to be due
to the meningococcus intracellularis, Menin-
gococcic anti-toxin is without effect in cases where
organisms other than the meningococcus are the
etlolou'lial factors. If this cannot be done before
the administration of the first dose of anti-toxin,
It should be accomplished before the second dose
Is given.
The promptness with which the fluid Is examined
after withdrawal from the spinal canal influences
the HUCcesB of the examination greatly. If the
spinal fltilil Is found sterile, It is well to consider
the posslhlllty of the organisms being confined to
the lateral ventricles.
Intelligent urlmlnlHlratlon of antitoxin reduces
the mortality of cerohroKplnal ineiilngltls duo to
inr'nlngococcuH InlruccllularlH 10 per cent.
TranKmisNloii of the dlHcase should be guarded

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