The Journal of Infectious Diseases, Vol. 10: Published by the Memorial Institute of Infectious Diseases (Classic Reprint) - Softcover

Hektoen, Ludvig

Softcover

ISBN 10: 1331945046 ISBN 13: 9781331945048

Verlag: Forgotten Books, 2015

Inhaltsangabe

Excerpt from The Journal of Infectious Diseases, Vol. 10: Published by the Memorial Institute of Infectious Diseases

On section of the tissues behind and to the left of the abscess a number of veins are cut across which are filled with adherent clots. No evidence of portal thrombosis is' found.

The spleen is enlarged, soft, and contains a light-colored, wedge-shaped area (2x2x1 cm.) surrounded by a hyperemic zone.

The liver shows a moderate infiltration of fat and passive congestion.

The left pleural cavity is free from fluid. Fibrous adhesions are bound over two medium-sized, wedge-shaped areas on the left upper lobe and over the greater part of the lower lobe. The latter is the seat of a large abscess, containing approximately 500 c.c. Of a blood-stained, chocolate-colored, intensely fetid pus. The inner and anterior walls are ragged, irregular, and surrounded by compressed lung, while the lower wall is largely made up of diaphragm. Two wedge-shaped areas of the left upper lobe show softening in the center and are filled with foul smelling pus. An abscess corresponding to the one in the left lower lobe is found just above the dia phragm in the right lower lobe and contains fully 300 c.c. Of a similar pus. Four wedge-shaped areas like those found in the left upper lobe are found in the right lung. Cross-section at the apex of some of these areas shows one or more veins filled with adherent clots. No direct communication between the abscesses of lungs and the retrocecal abscess was found.

The stomach, intestines, mesenteric lymph-glands, kidneys, adrenals, pericardium, endocardium, and myocardium show no noteworthy changes.

Microscopic examinations of sections of the wall of the large abscess shows it to consist of necrotic tissue surrounded by granulation tissue and compressed lung, infiltrated with leukocytes. The wedge-shaped areas consist of a central necrotic material surrounded by a hyperemic zone with infiltration of leukocytes.

The liver shows a marked fatty infiltration, a definite increase in interstitial tissue, and passive congestion. No noteworthy change was found in the rest of the organs.

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Details zur Ausgabe

• Verlag: Forgotten Books
• Erscheinungsdatum: 2015
• Sprache: Englisch
• ISBN 10: 1331945046
• ISBN 13: 9781331945048
• Einband: Taschenbuch
• Anzahl der Seiten: 478
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