Syphilis and Its Treatment, with Especial Reference to Syphilis of the Skin

Syphilis and Its Treatment, with Especial Reference to Syphilis of the Skin

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 edition. Excerpt: ...certainly exclude the presence of the disease. To begin with, the reaction is not found with any certainty until the fifth or sixth week after the infection, and rarely it may be further delayed; that is to say, the blood may still yield a negative result after the primary sore has been in evidence for some time, ' and after the patient has already acquired his immunity. This is evidence that the reaction is not dependent on the production of an anti-syphilitic immune substance in the serum, analogous to that developed in other infective diseases, such as typhoid. It is true that many skilled bacteriologists can foretell with more or less accuracy the probability of a positive result in the near future, although the blood is negative at the time; and in consequence the clinician is sometimes requested by the bacteriologist, in these cases, to send a further sample of blood after a short interval. Again, in late syphilis there are cases in which the patient shows undoubted evidence of the disease, while the blood gives a negative reaction; or the blood may be rendered negative temporarily by treatment, but if no further therapeutic measures are taken, in a few months active syphilitic lesions may show themselves, and on examination the blood' may prove to have turned positive again. So that a single negative verdict should on no account mislead the physician into discharging the patient as cured. So many physicians unfortunately place such reliance on the test that cases of this kind frequently occur, with disastrous results which tend to bring the test into disrepute. I have seen three cases in the last few months in which the patients, whose blood proved to be negative after a course of mixed salvarsan and mercu_rial treatment, ...
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Product details

  • Paperback | 70 pages
  • 189 x 246 x 4mm | 141g
  • United States
  • English
  • black & white illustrations
  • 1236939379
  • 9781236939371