. Pathogenic microörganisms; a practical manual for students, physicians, and health officers . acent parts orthrough blood and lymph be carried to all parts of the body. Gono-cocci thus cause many cases of endometritis, metritis, salpingitis, oopho-ritis, peritonitis, prostitis, cystitis, epididymitis, and arthritis. Abscessesof considerable size, periostitis, and otitis are occasionally due to thegonococcus. Gonorrheal Ophthalmia.—^We have corroborated the statement ofStephenson and others that the gonococcus, though a frequent causeof ophthalmia neonatorum is .not the only cause, in fact,
. Pathogenic microörganisms; a practical manual for students, physicians, and health officers . acent parts orthrough blood and lymph be carried to all parts of the body. Gono-cocci thus cause many cases of endometritis, metritis, salpingitis, oopho-ritis, peritonitis, prostitis, cystitis, epididymitis, and arthritis. Abscessesof considerable size, periostitis, and otitis are occasionally due to thegonococcus. Gonorrheal Ophthalmia.—^We have corroborated the statement ofStephenson and others that the gonococcus, though a frequent causeof ophthalmia neonatorum is .not the only cause, in fact, in onlyabout two-thirds of these cases is the gonococcus the cause of theinflammation. Endocarditis and Septicemia.—Cases of gonococcus endocarditis andsepticemia are not infrequent. Gonococcus septicemia may occurin connection with other localizations or alone. Nearly every yearone or two of these cases are met with in every general hospital. Ina considerable number of cases where gonococci are obtained from theblood the patients recover. The fever is sometimes typhoid-like Fig. 112.—Colonies of gonococci onpleuritic fluid agar. (Heiman.) 288 GONOCOCCUS OB MICROCOCCUS GONORRHEM Complications.—General infections with gonococci are often followedor accompanied by neuralgic affections, muscle atrophies, and occasionally occurs. Immunity.—^Immunity in man after recovery from infection seemsto be only shght in amount and for a short period if present at all. It isknown that the urethra in man or cervix uteri in woman may containgonococci which lie dormant and may be innocuous in that person foryears, but which may at any time excite an acute gonorrhea in anotherindividual or, under stimulating conditions, in the one carrying theinfection. Animals may, however, be immunized, and their blood isboth bactericidal and slightly antitoxic. Therapeutic Use of Serum and Vaccine.—The use of sera in acutegonorrheal joiiit inflammation has given in
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