. A practical treatise on medical diagnosis for students and physicians . nd other local infections occur. The cases are often ambulant, but theurine and feces contain bacilli. Diagnosis. H. D. Exposure ; climate ; epidemic. S. D. Clinical course. Symptoms of toxamiia. 0. D. Buboes ; carbuncles ; hemorrhages. P. D. Pneumonia if present. L. D. Organism in pus ; sputum ; blood. Serum diagnosis. D. D. Typhoid fever ; other infections. The diagnosis is based upon the history, the clinical course, and theresults of bacteriological examination. The following description fromAbbott enables the diagno


. A practical treatise on medical diagnosis for students and physicians . nd other local infections occur. The cases are often ambulant, but theurine and feces contain bacilli. Diagnosis. H. D. Exposure ; climate ; epidemic. S. D. Clinical course. Symptoms of toxamiia. 0. D. Buboes ; carbuncles ; hemorrhages. P. D. Pneumonia if present. L. D. Organism in pus ; sputum ; blood. Serum diagnosis. D. D. Typhoid fever ; other infections. The diagnosis is based upon the history, the clinical course, and theresults of bacteriological examination. The following description fromAbbott enables the diagnosis to be readily made : This organism is described as a short, oval bacillus, usually seensingle, sometimes joined end to end in pairs or threes, less commonly as 806 THE INFECTIONS. longer threads. It stains more readily at its ends than at its centre. Itis sometimes capsulated ; is non-spore-forming; is aerobic, and is non-motile. It is found in large numbers in the suppurating glands, in thesputum, and in much smaller numbers in the blood. (See Fig. 322.) Fig. i B Bacillus of bubonic plague: A, in pus from suppurating bubo; B, the bacilli very muchenlarged, to show peculiar polar staining. (Abbott.) It is demonstrable in cover-slip preparations made from the pus andin sections of the glands by the ordinary staining methods. Yersinstates that it retains its color when treated by the method of Gram, whileKitasato says that it at one time stains by this method and at another itbecomes decolorized. Aoyama observed that those bacilli within the sup-purating glands were decolorized, while those in the blood retained thestain when treated by Grams method. The duration is from six to ten days. If there is much suppuration,convalescence is prolonged. Leprosy. A chronic, specific, infectious disease, characterized by the developmentof tubercles, anaesthetic patches, and neuritis, and followed by ulcerationand destruction of tissue. The disease occurs especially from puberty tot


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