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 |   Related post: are not demonstrable are of tubercular origin. Others believe this latter statement to be too sweeping, and are convinced that among the cases of what is commonly diag- nosticated as simple acute pleurisy with a sero- fibrinous exu- date, a very considerable proportion show no bacteria, and still are not tubercular in origin. This discrepancy in be- lief is partly due to technical ditiiculties in the way of bac- terial examination for tubercle Prochlorperazine Price bacilli, and partly to the lack in most cases thus far examined of such unimpeachable evi- dence in this respect as the autopsy alone can furnish. * Xetter. Eztrait des bull, et mem. de la Soc. nied. den hopttaux de Parix, 3me sine, 6me amide, 1889 ; ibid., Sfianee du 16 mai 1890. Soc. m^d. des hopitaux, April 7, 1892. 7'raUi de medecine. Charcot et Bouchard, tome W, 1898. f Archivfur cxp. Palhologie, etc., Bd. xxvii, 1891. X Archive! of Pediatrics, October, 1890. " Dcutscltex Arrhiv fUr klin. Medicin, Bd. 1, 1892. I Giornale inlernazionale dclle svienze medichr, 1892 ; Iie». Central- blaltfiir allff. Pathologic, etc., Jan. 15, 189.3. Tubercle bacilli have actually been found in the sero- fibrinous exudate in but very few cases, the tubercular ori- gin having been inferred in mo.st cases from hereditary an- tecedents and the personal history previous or subsequent to the attack of pleurisy. Clinical data have been thought to indicate * that from fort)' to eighty per cent, of the so- called " simple " or " essential " pleurisies with sero-fibrin- ous exudate are of tubercular origin. Pansini f has emphasized in this connection the impor- tance from the technical standpoint of examining larger quantities of exudate than are obtained by the usual ex- ploratory puncture with the hypodermic syringe and the use of animal inoculations, since without these precautions tu- bercle bacilli may readily escape observation. His own studies made on large quantities of exudate showed in fif- teen sero-fibrinous exudates the tubercle bacillus in six ; pneumococcus {Micrococcus lanceolatus X) in three ; strepto- coccus or pneumococcus in one ; and in five no bacteria. Prince Ludwig Ferdinand, in nine cases of pleurisy Order Prochlorperazine Online with a sero-fibrinous exudate, found in the latter the pneu- mococcus in two ; Staphylococcus pyogenes in two ; no bac- teria in five ; Prochlorperazine Tablets four of the negative cases were, however, be- lieved to be tubercular. Netter concludes, from morphologic studies and inocu- lations, that the tubercle bacillus is present in at least forty per cent, of sero-fibrinous exudates in pleurisy, and is more Buy Prochlorperazine Online common than in empyema. It evidently is still reserved for further and more ex- tended studies to establish the relative frequency of tuber- cular inflammation as a causative factor in the sero-fibrin- ous phases of pleurisy. It is certain that tubercular pleurisy may exist with a sero-fibrinous exudate, and neither the morphological Buy Prochlorperazine examination nor animal inoculations show the presence of the tubercle bacillus in the exudate. In a few cases Staphylococcus pyogenes aureus, or albus, or both, have been found in serous exudates, and it has been shown that exudates containing these germs do not necessarily become purulent. In a large number of cases Purchase Prochlorperazine the Micrococcus lanceolatus (pneumococcus) has been found in serous effusions, and its presence does not indicate Buy Cheap Prochlorperazine that the effusion will become purulent, Order Prochlorperazine though it may do so. Streptococcus pyogenes has been found in a considerable number of simple serous effusions. When present, the exu- date is very apt to Prochlorperazine Mg become purulent, although a few cases have been studied in which it has not done so.* The pneu- mococcus may be found in serous effusions in association with the Staphylococcus pyogenes, or other germs. In Netter's experience the exudate in metapneumonic pleurisy is more often purulent than sero-fibrinous, his cases showing the proportion of eighteen to four. The results of * Fiedler. Ueber die Function der Pleurahohle in Herzbeutel. Volkmann's Klin. Peitrciye, 1892. — Barrii. Remarks on the So-called Simple Pleuritic Effusions. Bril. Med. Journal, May 10, 1890. f Pansini. Tmc cit. \ Micrococcus lanceolatus will be used in this article as a siiTionym of Diplococcus pyieumoniee and pneumococcus — meaning thereby the pneumococcus of Fraenkel and Weicliselbaum. " Goldscheider. Zeilschriftfiir klin. Medicin, Bd. xxi, Ileft 3 und Purchase Prochlorperazine Online 4, p. 363, 1892. 698 Prochlorperazine Cost Related links: Dilantin 125, generic zithromax 250mg, buy retin a cream 1, Benzoyl Peroxide Face Washes, Mircette Kariva, Coupons For Advair Diskus, Differin Adapalene Gel, Pentasa Canada, Imiquimod Topical Cream, accutane cost no insurance
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