. Applied immunology : the practical application of sera and bacterins prophylactically, diagnostically, and therapeutically. Td RksmnATieKS Z in Z4 16 M 22 Z» Zh Z6 Z l u. zz ZZZ »rz B Z« tii z+ 10 n !2 zz lO z, 2) 20 zz ZZ a IT Z0 » JO 26 le zo IB Z OZZ zz ZO 18 ZO IS to zo ZO zozo W^ght fti «i H«t»s J Fig. 42.—In this case of typhoid fever a few days after the return of the tempera-ture to1 normal during convalescence, dozens of subcutaneous abscesses formed persis-tently for a week or more, requiring daily incisions and drainage. Cultures demonstratedM. aureus in pure state. Observe the im
. Applied immunology : the practical application of sera and bacterins prophylactically, diagnostically, and therapeutically. Td RksmnATieKS Z in Z4 16 M 22 Z» Zh Z6 Z l u. zz ZZZ »rz B Z« tii z+ 10 n !2 zz lO z, 2) 20 zz ZZ a IT Z0 » JO 26 le zo IB Z OZZ zz ZO 18 ZO IS to zo ZO zozo W^ght fti «i H«t»s J Fig. 42.—In this case of typhoid fever a few days after the return of the tempera-ture to1 normal during convalescence, dozens of subcutaneous abscesses formed persis-tently for a week or more, requiring daily incisions and drainage. Cultures demonstratedM. aureus in pure state. Observe the immediate effect of a single inoculation of100,000,000 staphylococci. Coincidently with the fall in temperature and generalimprovement, the opsonic index showed a marked rise. cases arise as secondary infections, against which bac-terins may possess little value unless the primary in- 268 APPLIED IMMUNOLOGY fection, as tuberculosis, syphilis, etc., can be influ-enced. In addition to all of the common pyogenicbacteria, the following should receive consideration:B. fusiformis, B. punctaturri and certain corynebac-. Fig. 44.—Mrs. J. B. C. Recurrent erysipelas. Observe in this case that thehigh tide of immunity, indicated by the opsonic indices, has been maintained fortwo and a half months, no inoculation having been given since March 22. It willbe noted that this is entirely in accord with the clinical symptoms of the case. teria. In the treatment of rapidly spreading phage-denic ulcerations, excellent results have been , autogenous preparations should be utilizedwhenever possible, and cultures repeated frequentlyas the bacterial flora are subject to change. BACTERIAL INOCULATION 269 Cellulitis and Dermatitis.—Under these headingsare included erysipelas, Ludwigs angina and pemphi-gus, commonly associated with lymphangitis andlymphadenitis. The preponderant invading organismis the streptococcus, although the staphylococcus isalso found. Streptococcal in
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