Vol. 60, 1909 - University of North Carolina at Chapel Hill

REVIEW OF SOUTHERN MEDICAL LITERATURE. 115
mou ducts. This condition may persist for are yaid to contain, or to represent, as most
a few days with a disappearance or perfora- of them have it, as "gospel" and believe
tion. the composition of them variable, though
Perforation is usually ushered in with without anything but faith in the honesty
sudden pains in the region of the gall blad- of the manufacturer to support our belief.
der. Symptoms and signs of general peri- But few of us are sufEciently enough versed
touitis soon follow, the clinical course be- in chemical nomenclature to recognize the
ing mnch the same as in peritonitis from poly-syllabic thirty-five letter compound
perforations of any other cause. acetylamidobenzeuetriethylxanthine as a
These cases of chronic cholecystitis are mixture of acetanilid and caffeine, and
often operated upon and the presence of the fewer of us still would recognize the combacillus
typhosus demonstrated months or position said to be safer than chloral that
years after the attack. Then if many sur- is "a compound of chloraethanal with a
vive the acute cholecystitis which very higher polyatomic alcohol," as nothing
likely resulted during the typhoid fever, it more than a mixture of chloral and glyceris
quite reasonable to think there are many ine, and certainly few physicians are stupid
who die from the same cause during the enough to believe that glycerine renders
course of the fever. The author believes less dangerous a given amount of chloral,
that acute cholecystitis of sufTicient severity xhe Tberapeutlcs of Typhoid Fever.—
to demand operative procedure is of far more
common occurrence than has been heretofore
supposed.
^^ j-j^^ Moodv savs that it is now uni-
..grsally admitted that the bacillus of ty-
phoid and the malarial Plasmodium may
be found in the same individual.
Gulf Stales Journal of Medicine and Sargery
and Mobile Medical and Surgical Journal,
Indeed it may almost be assumed that
during the autumn and early winter months
func, 1909. every person living in malarial territory is
Immunity.-Dr. J. F. Peary says that cer- infected to a greater or lesser degree, and
tain germs, the diphtheria bacillus, the that whatever other pathological condition
pneumococcus and perhaps the typhoid may supervene it will be more successfully
bacillus should be included, localize them- managed if the malarial infection be first
selves by preference in certain structures, eradicated. Thereforeit would seem rational
and from these points