Identifier: cyclopdiaofobs04gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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se convinced be-lievers in the influence of microbes. For them no microbe, no fever isthe cry. For us, we are content to leave the matter in the doubt forcedupon us by the present state of our knowledge. To dogmatize, as yet, wedo not believe is scientific. The wise course is to accept the doctrine ofsepticemia as applicable to the vast majority of cases. Fortunately forthe woman, our treatment of the disease is to-day more certain than ourtheory as to its origin, and if in the future a better explanation of thecause is offered than that at present acceptable to the majority of ac-coucheurs, we do not hope for much change in the generally acceptedtreatment, which is outlined further on.—Ed.) EXPLANATION OF PLATE VIL Fig. 1.—Noeggeraths saprocyte. Fig, 2.—a, Slender bacillus, like tliat of tuberculosis; h, large dip-lococcus; c, coccus in chains; d, rod bacteria.Fig. 3.—Common puerperal streptococcus.Fig. 4.—Noeggerath^s saprocyte in the culture fluid. Chaii^entier PLATE VII.
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NOEGGERATH-A PUERPERAL FEVER MICROBE. CHAPTER II.FORMS OF THE DISEASE. T^Xr^ER what forms now do we meet with puerperal affections ? Theyare as numerous as they are varied, as is apparent from consultingthe descriptions of different epidemics of puerperal fever, ^hence thedivisions into metritis, metro-peritonitis, peritonitis, phlebitis, lymphan-gitis, purulent infection, pleurisies, endocartitis, etc. Whence also thosenumerous diseases described by Hervieux in his svork, and which, fromour standpoint, are only manifestations of general infection, of puerperalsepticsemia. We j^ropose here simply to study the clinical side of puer-peral affections withoitt entering into elaborate detail. We will mentionpurely the most marked forms of Avhat was formerly called puerperalfever, and to-day is known as puerperal septicaemia. At the outset, as has been so well shown by Pajot, there is a vast differ-ence between the lesser puerperal state, that is to say, the modificationsin the organism dur

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