Bismuth Paste in Chronic Suppurations Its Diagnostic Importance And Therapeutic

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67.
tents of tuberculous abscesses are usually sterile, and consist of debris with a very few white blood corpuscles. Within twenty-four hours after an injection of the bis- muth paste the fluid will contain an abundance of poly- morphonuclear leucocytes. A fibrinous network, in which are entangled a large number of these leucocytes and some red corpuscles, will appear. All these facts in- 168 BISMUTH PASTE IN CHRONIC SUPPURATIONS.
dicate that there is an inflammatory reaction. The same cytolog
...ic changes have been noted by other observers when other modifying substances have been applied.
Coyon and Fiesenger (Journal des Practiciens, Octo- ber 20, 1909) have advanced a theory which places the action of the various fluids on a chemical basis. They have shown that, in the more acute form of abscess, there exists a proteolytic ferment analogous to the tryptic fer- ment of the pancreas, which coagulates albumins and changes them into peptones and amido-acids. This fer- ment is produced by the destruction of the polymorpho- nuclear leucocytes.


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