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

THE CHARLOTTB MEDICAL JOURNAL.
ment, preventive measures, etc. Physicians
will do well to write for this pamphlet, addressing
the company at its home offices in
Detroit or any of its numerous branches.
Treatment of Gonorrbea.
Hand injections are not popular in France,
and most cases of gonorrhea are treated
either according to the method of Fournier
or Janet. The former simply gives bicarbonate
of soda with flaxseed tea during the
acute stage, and has the organ washed off
frequently, or applies a wet dressing. After
about fourteen days a small amount of copaiba
or cubebs is prescribed.
The more popular method of Janet calls
for irrigations of the entire urethra by means
of a weak solution of potassium permanganate.
Though the gonococci are directly
carried into the posterior urethra, a urethritis
is a very rare complication here.
During the acute stage, when the secretion
is purulent, oxycyanate of mercury, 1 :4000,
or albargin, 1:1000, is superior to the permanganate.
The abortive treatment is only
rarely employed. The following is an excellent
method, if the discharge has not persisted
for more than three days and is more
sero-mucinous in character; The first day,
a few cubic centimeters of a 1 to 2 percent,
solution of silver nitrate are instilled into
the anterior urethra; a few hours later, the
anterior urethra is irrigated with a 1:2000
permanganate solution. This is repeated
on the second day, and on the second sitting
of the same day a 0.5 per cent, cocaine
solution is injected, and the irrigation repeated
into the bladder. Two irrigations
daily are given for five to six days, then
one irrigation daily. The strength of the
permanganate is later diminished to 1 :4000.
Complications are rare, and a cure generally
sets in from two to four weeks. Where
there are no gonococci, but a pronounced
mixed infection, some prefer bichloride,
1:20,000. In chronic gonorrhea, all the
glands must be carefully examined, especially
by palpation and massage. The treatment
consists in massage and irrigations of
permanganate, 1:3000. For involvement of
the anterior glands, massage may also be
practiced, or the glands are emptied by
means of a Kollman dilator. For infiltrations
in the anterior canal, sounds are in
place, or electricity is recommended, while
softening ointments or injections are only
rarely employed.—Muench. med. Woch.
Epsom Salts In tbe Treatment of Warts.
J. B. Ridley recently had under observation
two cases of verruca plana of the hands
and face, one of which has been successfully
treated by Epsom salts. The first case
was that of a girl, aged twenty years, who
presented herself at the skin hospital on Feb.
3 of this year suffering from warts of six
years' duration. Upon inspection the dorsal
surface of both hands was covered with
warts of considerable size, while in addition
there were a few scattered ones on the
neck and around the mouth. She was put
on Epsom salts in dram doses thrice daily,
no external application was given, and by
March 24 the warts had entirely disappeared.
The second case was a little boy, aged
four years, seen on April 21, suffering from
warts of seven months' duration. The dorsal
surface of both hands was much affected
with them and a few were also to be seen
about the mouth. He was treated with
Epsom salts in dram doses twice daily, but
as he had only been under treatment for a
short period there was no marked effect at
the time of the report, but the author had
no hesitation in saying that in the course
of a few weeks more they will have entirely
disappeared.
Some fifteen years ago he treated a little
girl, aged ten years, for extensive warts of
the face and body. He gave her Epsom
salts in dram doses twice daily for over
three months; at the end of this time the
whole of the warts had entirely vanished.
None of these cases ever complained of any
unpleasant symptoms.—The I^ondou Medical
Lancet.
Typhoid Bacilli In Sputum. !
Lung complications of severity during |
typhoid fever are not very common; nevertheless
they occur with sufficient frequency
to make them of decided clinical importance.
Their bacteriology has been investigated
by Dr. Stefanelli, in I'lorence, and he
finds that out of fifteen patients suffering
from typhoid fever and from intercurrent
lung trouble, as follows:—Severe diffuse
bronchitis, 2 cases; broncho-pneumonia, 10
cases; lobar pneumonia, 3 cases, the sputum ;
contained the Diplococczus pneumontBm. every
instance, and the Bacillus typhosus in six
out of the fifteen. The importance of this
from the point of view of the spread of the
disease is obvious— it must be dangerous to
have a case of typhoidal pneumonia coughing
in proximity to another patient's bed.
It is also of importance from the point of
view of treatment; for the vaccine treatment
of pneumonia requires a precise knowledge
of the bacteriology of the lung trouble in
each individual case. It is hardly possible,
if both pneumococci and typhoid bacilli are
present in the same sputum, to say for certain
which is causing the bronchitis or the
pneumonia; but the diplococcus is very
common as an ingredient of normal sputum,
.