. A practical treatise on medical diagnosis for students and physicians . serous or sanguinoserous exudation in the pleura. The sputumat this time may accidentally contain the parasite, although this is rare ;it is mucopurulent, but it is said never to contain elastic fibres. Thecourse of the disease at this time may extend over many months, in con-tradistinction to empyema on the one hand and carcinoma on the other. 810 THE INFECTIONS. In the final stage ulceration of the swelling is seen in many places,a fistula forms, and the disease extends to adjacent structures. Metastasis. Secondary inf
. A practical treatise on medical diagnosis for students and physicians . serous or sanguinoserous exudation in the pleura. The sputumat this time may accidentally contain the parasite, although this is rare ;it is mucopurulent, but it is said never to contain elastic fibres. Thecourse of the disease at this time may extend over many months, in con-tradistinction to empyema on the one hand and carcinoma on the other. 810 THE INFECTIONS. In the final stage ulceration of the swelling is seen in many places,a fistula forms, and the disease extends to adjacent structures. Metastasis. Secondary infection may occur and symptoms of pyaemiadevelo]). The masses which form upon the intestinal mucous membranemay lead to suppuration and perforation of the intestine. Metastasis toany organ may occur, with resulting local symptoms. The durationdepends upon the organs involved in metastases. If metastases do notlead to early death, that result is brought about at the end of monthsor years by slow pyaemia, with resulting amyloid degeneration and itsconsequences. Fig.
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