A system of surgery . welve days. In a hundred andthirty-three cases of ordinary pyaemia it was 10*15 days (Makinsand Abbott). Recovery from pyaemia is a slow and anxious process,liable at any time to be complicated with rigors, which portendrecrudescence of the disease. Recovery only ensues when the pyaemia,which has had an acute beginning, has been chronic for a long prognosis, therefore, is more favourable as time elapses. Theaverage duration of four cases which recovered was one hundred andthirteen days, and in four others the duration was thirty-one days,one hundred and forty-t
A system of surgery . welve days. In a hundred andthirty-three cases of ordinary pyaemia it was 10*15 days (Makinsand Abbott). Recovery from pyaemia is a slow and anxious process,liable at any time to be complicated with rigors, which portendrecrudescence of the disease. Recovery only ensues when the pyaemia,which has had an acute beginning, has been chronic for a long prognosis, therefore, is more favourable as time elapses. Theaverage duration of four cases which recovered was one hundred andthirteen days, and in four others the duration was thirty-one days,one hundred and forty-three days, one hundred and ninety-three days,and eighty-six days respectively (Makins and Abbott). The pro-gnosis is more favourable when the pyaemic abscesses attack the limbs,or are confined to the areolar planes. The prognosis is most unfavour-able when the abdominal and thoracic viscera are affected. Theonly difference betwixt acute and chronic pyaemia consists in theirduration and in the severity of the -Streptococci in Pyaemic Urine. (From a micro-photograph, by Mr. Cosens.) 186 PYEMIA. Treatment.—The treatment of pyaemia is preventive and cura-tive. The preventive treatment of pysemia mainly consists in thecorrect practice of antiseptic surgery. The only case of pyaemiawhich I have had was after an amputation for an acute osteomyelitisof the femur. In this it had undoubtedly arisen before the opera-tion. Cases of suppuration of any kind are to be isolated as far aspossible, and all who are in contact with them taught the dangersof the conveyance of infection from them. These remarks applywith greater force to cases of pyaemia. Some of the dangers of infarction and embolism may be obviatedby keeping the patient absolutely at rest. I have seen a fatalitywhich seemed directly caused by neglect of this precaution. The curative treatment of pyaemia is exceedingly unsatisfactory—drugs are of no avail. Full doses of quinine help to diminish theseverity of the rig
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