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When Parenting Isn T Perfect 1st Edition Jim Daly: Visit To Download The Full and Correct Content Document
When Parenting Isn T Perfect 1st Edition Jim Daly: Visit To Download The Full and Correct Content Document
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may in most cases be explained on the same grounds. The germs in
this case had already gained access to the blood, but were helpless to
accomplish much harm, until by chilling, the resisting power of the
system was lowered and an occasion furnished for their successfully
colonizing the peritoneum. Parallel cases are found in the frog which
is immune from anthrax until it is heated, and in the chicken which
is immune from anthrax until chilled. Reduce the vitality of the
system and the germ which was already present, and up till now
harmless, takes occasion to colonize more or less destructively.
This view also furnishes an explanation of the tendency of local
peritonitis to become generalized. In the scanty liquid which bedews
the surface of the abdominal organs, the microbes grow, multiply
and spread; by the constant peristaltic movements of the bowels and
their rolling upon each other this extension is largely favored; and
the tendency to generalization will be in ratio with the potency of the
invading germ, and the general or local weakening of the invaded
tissues. With a limited infection wound in an otherwise healthy
peritoneum and system, and invasion by a pus coccus only, the
infection may not succeed in extending from its primary centre, but
with a debilitated system, an extended enteritis, or when the invasion
is made by septic germs it is likely to become speedily and fatally
generalized.
Pernice has shown, however, that peritonitis may occur
independently of infection. The injection into the cavity of
concentrated mineral acids, acetic acid, phenol, nitrate of silver and
other powerful antiseptics determine inflammation by their purely
irritant action. By weakening the tissues of the bowels these in their
turn pave the way for the escape of the microbes from the contents,
and to the occurrence of a secondary infective inflammation.
Cases occur as a manifestation of rheumatism, tuberculosis,
actinomycosis and other affections which will be treated at greater
length under these respective heads.
The microbes would seem to vary greatly. Soula attributes
infection of castration wounds mainly to the bacillus of malignant
œdema which is 3 to 3.5 μ long and 1 to 1.1 μ broad often bearing a
refrangent spore at one end (is sporeless in the peritoneal cultures),
and growing out into chains in artificial cultures. They are anærobic,
liquefying, motile, easily stained by aniline colors, but bleached by
iodine.
In other forms of peritonitis the bacillus coli commune is found
and probably comes from the intestinal contents where it is present
in all our domestic animals.
In man Fränkel found the bacillus coli communis 9 times,
streptococcus pyogenes 7 times, bacillus lactis aerogenes 2 times,
micrococcus pneumoniæ crouposæ 1 time, staphylococcus pyogenes
aureus 1 time. Flexner found the proteus vulgaris.
ACUTE PERITONITIS IN SOLIPEDS.