A Manual of the Practice of Medicine: Designed for the Use of Students And ...
A Manual of the Practice of Medicine: Designed for the Use of Students And ...
Henry Moir
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ETIOLOGY. The questions which naturally arise are: DIPHTHERIA. 347 First — Is diphtheria a contagious disease? There is no doubt that it is a contagious disease, and can be developed by inoqula- tion in the same manner as small-pox. /Second.— Is it* a constitutional disease primarily, and local secondarily, or vice versa? It cannot be well denied that it is first a constitutional, And, secondly, a local disease; for it seems proven there is a local manifestation of a constitutional development ...by the fact, that the disease cannot be destroyed by taking off the various layers of the mucous membrane. It is unquestionably a constitutional disease, and the local changes depend entirely upon the amount of infection. Third, — ^Is it of spontaneous origin ? It is like typhus and ty- phoid fevers, requiring a poison through decomposing animal matter, which fills the air. That it also occurs in connection with sewer poisoning there is no doubt, still the profession is very un- decided on this point.
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