From the Dental Archives

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Citation of Original:

Miller, WD. The Human Mouth as a Focus of Infection. Dental Cosmos 33(9) Sep. 1891:689-706.


The Human Mouth as a Focus of Infection: Table: List of Cases

A LIST OF CASES

in which severe complications resulted from diseased teeth or from operations in the mouth. Those cases denoted by an * were furnished by Zahnarxt Dellevie, and were all observed in the Allgemeines Krankenhaus, Hamburg.

No.

REPORTER.

PATIENT.

CAUSE.

DIAGNOSIS, COURSE OF DISEASE.

RESULT.

REMARKS.

1

*

Man, age 48, healthy.

Diseased lower incisors.

Abscess, osteomyelitis, necrosis, laryngitis.

Death.

 

2

*

Workman’s daughter, age 5.

Carious tooth in lower jaw.

Parulis, osteomyelitis mandib., metastatic abscesses in lungs, etc.

Death after 4 days.

Treatment: incisions and drainage.

3

*

Workman, age 22.

"

Osteomyelitis mandib., angina Ludovici, glottis oedema.

Death after 1 day.

Treatment: incisions, tracheotomy.

4

*

Boy, age 5.

"

Osteomyelitis of left lower jaw, gangrene of lungs.

Death after 16 days.

Treatment: incisions and tonics.

5

*

Boy, age 4.

Carious teeth in lower jaw.

Diptheria, catarrh, and later gangrene of lungs, osteomyelitis.

Death.

Treatment: tracheotomy, incisions of alveolar abscesses, tonics.

6

FRAENKEL. Deutsche medicinische Wochenschrift, 1888, S. 931.

Workman, age 36.

"

Osteomyelitis, phlegmon, periostitis purulenta, mediastinitis suppurativa, oedema mediastinalis, pleuritis, pericarditis.

Death 24 hrs. after appearance of phlegmon.

 

7-14

SCHEDE. Ibid., S. 949.

       

Schede saw 8 cases of this nature: he considers tham all as hopeless, "the patients die of acute or more chronic sepsis."

15

Private communication

 

Caries of lower 3d molar.

Osteomyelitis, phlegmon, oedema of arytenoepiglottic ligaments.

 

Result not ascertained.

16

PIETRZIKOWSKI. Oesterr.-Ung. Vierteljahrsschrift fur Zahnheilkunde, 1886, S. 363.

Shoemaker’s wife, age 26.

Alveolar absc.,

r. i. l. m.

Osteomyelitis, necrosis of articular process of right lower jaw.

 

Treatment: sequestrotomy incisions, sublimate irrigation.

17

PEL. Nederl. Weekbl., No. 12, 1882.

 

Caries of lower molar.

Suppurative periostitis, fever, chills, metastatic abscesses, pyaemia.

Death.

 

18

Private communication

Young workman.

Alveolar absc.

Ostitis, periostitis, extensive sloughing, acute gangrene, general septic infection.

"

The teeth and mouth were at the beginning in an exceedingly neglected condition.

19

HOWSE. Med. Times and Gazette, 1876.

Child, age 4 1/2.

Carious teeth in inf. max.

Suppuration in inf. dent. canal, periostitis, ostitis of vault of skull, general pyaemia.

Death after 9 days.

 

20

COOPMAN. Corresp. -Bl. f. Zahnarzte, Jan., 1889, S. 56.

Boy, age 8.

Absc., r. i. l. m.

Periostitis, septicaemia, metastatic abscesses.

Death after 5 days.

Extr. of tooth failed to arrest the disease.

21

MARSHALL. Dental Cosmos, Dec., 1888, p. 891.

 

Absc. of lower wisdom-tooth.

Suppuration, swelling, necrosis, gangrene, sepsis.

Death after 12 days.

 

22

*

Driver.

Carious tooth.

Phlegmonous swelling of region of left lower jaw, periostitis mandib. sin.

   

23

*

Girl, age 15.

Absc’d tooth, rt. inferior.

Ostitis and periostitis mandib. dext., endocarditis, pleuritis, nephritis, bronchopneumonia.

Death after 4 1/2 months.

Treatment: incisions, digitalis, antipyrin.

24

*

Mason, age 61.

Diseased tooth in rt. inf. max.

Stomatitis gangrenosa, necrosis mandib., pneumonia.

Death after 4 days.

 

25

GOODHEART. Med. Times and Gazette, 15 July, 1876.

Boy, age 41/2.

Caries of tooth, inf. max.

Abscess, formation of pus in inframaxillary canal, periostitis of lower jaw, spreading of inflam. through fossa pterygo-max. to orbit, suppuration of both orbits, ostitis of the vertex of skull, pyaemia.

Death.

 

26

H. ALLEN. Dental Cosmos, 1874, p. 569

Young man.

Diseased wisdom-tooth.

Ostitis, periostitis, absc., collection of pus about hyoid bone, glossitis.

Death after 14 days.

 

27

WHITE. Ibid., V. XVI, p. 641.

Boy, age 7.

Alveolar abscess.

Necrosis.

Loss of 1/2 of ramus of left side.

 

28

MARVIN. Ibid., 1880, p.27.

Gentleman.

Abscess of rt. 1. m. after filling.

Extensive sloughing, septicaemia.

Death.

 

29

*

 

Abscess.

Septicaemia.

Death in 48 hours.

 

30

PONCET. Gaz. des Hopit., No.19.

 

Carious tooth.

Ostitis, general septic infection.

Death after 48 hours.

 

31

RITTER. Deut. Monatsschr. f. Zahnheilk., 1886, No.8.

 

Abscessed tooth.

Septicaemia.

Death.

 

32

MCKELLOPS. Dental Cosmos, 1890, p. 949.

 

Accuml. of pus about diseased tooth.

Pyaemia (mistaken for malaria).

Recovery.

Treatment: extraction.

33

BEACH. Dental Advertiser, October, 1890.

 

Absc’d tooth.

Metastatic abscesses on pinna, in temporal region, on fingers, etc. with general symptoms.

Speedy recovery.

" "

34-44

PORRE. Dental Record, October, 1887.

Healthy man.

Diseased wisdom-tooth.

Chronic pyaemia.

Recovery after extraction.

Porre observed 10 more, similar cases.

45

BAKER. Ibid., July, 1888.

Young man.

Abscess of 2d molar.

Pyaemia.

Death.

The pyaemic symptoms appeared after the patient had caught cold in the tooth, and resulted fatally in three weeks.

46

BAKER. Ibid.

Widow in excellent health.

Abscess 1. s. I m.

Pyaemia, abscess on fourth toe of right side, right ear, forearm, etc.

Recovery.

Healed by treating and filling root-canals.

47

*

Boy, age 7.

Caries of lower molars.

Abscess, inflam. extending along n. inf. max. through orbit into brain cavity, abscess of brain, necrosis.

Death.

 

48

FRIPP. Dental Record, August, 1887.

 

Abscess.

Meningitis.

"

 

49

MAIR. Edinb. Med. Journ., May, 1866.

 

Pericementitis in upper jaw.

Inflam. of Highmore’s antrum, caries of the ethmoid, abscess of orbit, arachnitis, encephalitis.

"

 

50

ZWICKE. Charite Annal., Jahrg. 10, S. 393.

Locksmith, age 23.

Carious teeth in max. inf.

Gangrenous phlegmon, perforation of pus through floor of mouth, emphysema, stinking bloody pus, high fever, dyspnoea.

Recovery after 5 weeks.

Treatment: deep incisions, sublimate, etc.

51

SCHWARTZ. Journ. des con. med., 1889, No. 17.

Steward, age 23.

Carious tooth r. i. 2 bc.

Angina Ludovici.

Recovery after 3 weeks.

Schwartz is of the opinion that in nearly all cases of this nature the entrance of the infection takes place through pharynx, tonsils, teeth, or duct of Wharton.

52

WILSON. Dental Review, No. 8, 1890.

Various cases.

Diseased teeth in upper jaw.

Pathological condition of cribriform plate, of ethmoid bone and frontal sinuses.

 

Wilson observed a number of cases of this kind, in which foul breath, constant discharge from nose, and failing health resulted.

53

A. J. N. Dental Cosmos, 1875, p. 167.

 

Abscess after filling.

Tetanus.

Death.

 

54

COLOMBE.

 

Diseased teeth.

Phlebitis of the sinuses of the dura mater.

   

55

ROCKEY. Private communication.

Woman, age 45.

Dental abscess.

Phlegmon, abscess of orbit and brain.

"

The infection reached the brain by way of the spheno-max. fossa, inf sphenoidal fisure, orbit, sup. sphen. fiss.

56

NICOLAI. Deutsche Monatsschrift fur Zahnheilkunde, VI Jahrg., 1888, S. 469.

Lady, age 33.

Carious tooth in inf. max.

Fistula of breast.

Recovery.

Treatment: extraction.

57

V. CARABELLI.

 

"

Fistula of armpit.

"

" "

58

CANTON. Dental Cosmos, Vol. XXII, p. 672.

Gentleman.

Diseased teeth.

General ill health, diagnosed as carcinoma of rectum.

"

In cases 58-60 the trouble was due to imperfect mastication of food and to consequent accumlution of faecal masses in large intestines.

59

CANTON.

Young wife.

"

Indigestion, sterility.

"

Treatment: insertion of false teeth.

60

CANTON

Gentleman.

"

Cramps of thigh, diagnosis: disease of spinal cord.

"

 

61

*

Boy, age 14.

Carious tooth.

Tetanus.

Death.

 

62

DRTZNER. Deut. Vierteljahrsschr. f. Zahnheilk., 1877, S. 33.

 

Parulis.

Pyaemia.

"

 

63

FURBRINGER. Deutsche Med. Wochenschrift, 1887, S. 553, No. 25.

 

2 carious teeth in lower jaw.

Inflam. of subcutaneous tissue, periostitis, phlegmon.

?

 

64

PIERCE GOULD. Journ. of Brit. Dent. Ass., April, 1886.

? age 57.

Alveolar abscess, sup. max.

Sloughing, trismus, oedema, thrombosis of cavernous sinus, metastatic abscesses, pyaemia.

Death.

Incision and ext. of 6 molar teeth failed to arrest the disease.

65

SEYDEL. Munchener Med. Wochenschrift, 1889, S. 423.

Boy.

Carious tooth.

Empyema of Highmore’s antrum, abscesses on various parts of body.

Recovery.

Treatment: extraction.

66

SEYDEL. Ibid.

Soldier.

?

Abscess of the hip, metastatic abscesses in different parts of the body, pain in processus mastoideus.

"

Treatment: trepanation.

67

ROBERT. Conference de clin. chirurg., Paris, 1860.

 

Abscess of lower wisdom-tooth.

Purulent infiltration of side of neck, necrosis.

Rapid death.

 

68

SCHMID. Oesterr.-Ungar. Vierteljahrsschrift fur Zahnarzte, 1881, Heft I.

 

Septic pulpitis of l. i. m.

Intense swelling, abscesses, necrosis, high fever, insomnia.

Recovery.

Not less than 70 pieces were thrown off.

69

R. PARK. Med. News, Oct. 6, 1888.

Young woman.

Diseased lower wisdom-tooth.

Phlegmon, extending from ear to chin, trismus.

Recovery after 2 months.

The mouth was opened by force, tooth extracted, and several incisions made.

70

SKOGSBERG. Deutsche Monatsschr. f. Zahnbeilk., 1886, S. 13.

 

Diseased teeth in left upper maxilla.

Total blindness of left eye.

 

Completely cured in 11 days by extraction of the teeth.

71

ZAKHAREVITSCH. Vrach No. 34, S. 523.

Physician.

Extr. of l. i. 2m.

Osteomyelitis.

Death after 6 days.

 

72

ZAKHAREVITSCH. Ibid.

"

"

Ostitis, periostitis, general sepsis.

Death in 10 days.

 

73

V. MOSETIG-MOORHOF. Oesterr.-Ungar. Vierteljahssschr. f. Zahnheilk., 1885m Heft 2.

Woman in 7th month of pregnancy.

Attempted extr. of r. i. 2m.

Angina Ludovici septica.

Recovery.

The ang. Lud. was very malignant, for many days little hope of recov. Treatment: deep incisions, antiseptic dressings, etc.

74

V. MOSETIG-MOORHOF. Ibid.

Servant girl, age 44.

Attempted extr. of l. i. 2m.

Intense swelling, gangrene of gums, suppuration, gangrenous phlebitis, myelitis, high fever, oedema of lungs.

Death.

Incision of gums, extr. of roots, antisep. mouth-washes, etc., of no avail.

75

V. MOSETIG-MOORHOF. Ibid.

 

Attempted extr.

Ostitis, phlebitis suppurativa, pyaemia.

"

 

76

*

Workman, age 39.

Extraction of r. i. 2m.

Phlegmon of neck and face, osteomyelitis necrotica mandib. dext.

Discharged after 10 weeks.

Treatment: sequestrotomy.

77

*

Butcher, age 25.

Extraction of a r. s. m.

Periostitis max. sup. and inf. dext., phlegmon capitis, osteomyelitis, pyaemia, endophlebitis ophthalmica, abscess in lungs, etc.

Death after 8 days.

Treatment: incisions and drainage.

78

BAUME, Lehrbuch d.Zahnheilk., S. 644.

Student.

Attempted extr. of l. s. 1m.

Periostitis, necrosis, after 2 weeks pyaemia, pleuro-pneumonia.

Death after 14 days.

 

79

BAUME.

Young man.

Extr. of a tooth with chronic parulis.

Pyaemia.

Death after 1 day.

This case should have been classed as septicaemia.

80

RITTER. Deutsche Monatsschrift f. Zahnheilk., Dec., 1886.

"

Extr. of 1 and 2 l. i. molars.

Suppurative periostitis, pyaemia.

Death after 10 days.

 

81

*

Boots, age 28.

Extraction of r. i. 3m.

Phlegmon of floor of mouth, periostitis max. inf. dext.

Discharged after 7 weeks.

Treatment: incisions and sublimate washes.

82

*

Pastry-cook, age 30.

Extr. (fracture) l. i. m.

Periostitis mandib., abscesses.

Discharged after 9 days.

Treatment: incision and drainage.

83

*

Wife of a machinist, age 28.

Extraction l. i. m.

Periostitis mandib., deep-seated absc. in neck, osteomyelitis cruris.

Discharged after 51/2 months.

 

84

*

Wife of a copyist.

Extr. of tooth in lower jaw, left side.

Swelling, stomatitis, periostitis, abscess, trismus.

Discharged after 4 1/2 weeks.

Treatment: incision, extr. of 6 carious teeth.

85

*

Boy, age 4.

"

Swelling of right lower jaw, abscess, periostitis.

Discharged after 5 1/2 months.

 

86

*

Waiter, age 18.

"

Periostitis, abscess of lower jaw.

Discharged after 6 days.

Treatment: incision, iodoform tampon.

87

*

Driver, age 26.

Extr. of roots in inf. max.

Abscess of cheek, periostitis, osteomyelitis mandib.

Discharged after 6 months.

Treatment: incision, sequestrotomy.

88

Private communication.

 

Extraction.

Periostitis, swelling and sloughing, loss of all teeth of lower jaw.

   

89

KOEHLER. Charite Annal., 13. Jahrg., S. 518.

Blacksmith, age 33.

Extraction in inf. max.

Severe septic phlegmon of neck, ichorous periostitis, laryngitis, pharyngitis, pleuritis, broncho-pneumonia, myocarditis, hepatitis, oedema, hyperaemia of the lungs, etc.

Death 7 days after admittance.

Treatment: deep incisions, antiseptic dresings, tracheotomy.

90

*

Workman, age 20.

"

Periostitis, profuse suppuration, pyaemia.

Death.

 

91

TULPIUS. v. Carabelli, Handbuch der Zahnheilkunde.

Physician.

Lancing gums.

Septicemia.

Rapid death.

The inflamed condition of the gums rendered it easy for pathogenic mouth-bacteria to establish themselves in the wound. It is not necessary to assume that the lance carried infectious matter.

92

Anonym. Zahnarztl. Wochenbl., Sept. 8, 1888.

Peasant girl.

Extraction.

Hemorrhage, swelling, sepsis.

Death after 2 days.

The wound was in this case neglected, till the septic process was so far advanced as to render all help of no avail.

93

ARLT. Wiener Med. Wochenschr., 1883, No. 9, S. 241.

Boy, age 11.

"

Choroiditis, pyaemia.

Blindness.

 

94

DIMMER. Ibid.

Boy, age 13.

Extr. in lower jaw.

Swelling, pain in throat, chills, choroiditis, protrusion of bulb.

 

Treatment: enucleation.

95

GOLDZIEHER. Ibid.

       

G. reports a case similar to 93 and 94.

96

LEYNSEELE. Bulletin de la Societe de Gand, 1885.

 

Extr. in inf. max., with fracture at pt. of extr.

Meningo-encephalitis.

Death.

Pus ascended inner side of ramus, entered cranial cavity through foramina ovale, spinosum and rotundum.

97

DELESTRE. Des accidents causes par l’extraction des dents, Paris, 1870.

Robust man.

Extr. of l. s. molar.

Inflam. extending to brain, meningitis.

"

The inflammation reached the brain by way of the orbit.

98

DELESTRE. Ibid.

Factory girl, age 26.

Extr. of r. i. molar.

Swelling, suppuration, meningitis.

"

 

99

ZAWADSKI. Gaz. lekarska, 1886, No. 8.

Locksmith, healthy, age 46.

Extr. of l. i. 3 molar.

Painful swelling, chills, sweats, stupor, pachymeningitis.

Death after 14 days.

 

100

V. METNITZ. Oesterr.-Ung. Vierteljahrsschrift f. Zahnheilk., 1887, Heft 1.

Woman, age 43.

Extr. several teeth.

After 10 days chills, delirium, intense swelling, lockjaw, meningitis, osteomyelitis, stupor, coma.

Death after 10 days.

 

101

Private case from clinic of Prof. KOCHER in Bern.

Woman, healthy, married.

Extraction in inf. max.

Infection of gums and periosteum, swelling, oedema, suppuration, abscess, oedema of eyelid, exophthalmus, meningitis.

Death.

 

102

CONRAD. Archives of Dentistry, Nov., 1886.

 

Extr. 2 teeth.

Tetanus.

"

 

103

DULLES. Medical and Surgical Reporter, Jan., 1878.

Servant girl, good character.

Extraction.

Chancre of lips 2 weeks after extraction.

 

104

OTIS/ Lectures on Syphilis, New York, 1887, p. 102.

 

Filling.

Chancre of lips 3 weeks after operation.

   

105

*

Workman, age 45.

Extr. 3 molars, 1 in upper, 2 in lower jaw.

Phlegmon of face.

Discharged after 5 weeks.

Treatment: incision and drainage.

106

*

Workman, age 39.

Extr. of roots of 1 and 2 upper mol.

Phlegmonous swelling of whole left side of face, high fever, enormous abscess, etc.

Discharged after 5 weeks.

Treatment: incision, and extr. of roots.

107

*

Painter, age 43.

Extr. 2 teeth in lower jaw.

Swelling, fistula, ulceration of mucous membrane of cheek, necrosis of lower jaw.

Recovery after 3 weeks.

Treatment: Sequestrotomy.

108

SCHEDE. Deutsche Med. Wochenschr., 1888, S. 949.

Blacksmith, age 41.

Extraction.

Osteomyelitis.

Recovery.

Treatment: removal of outer lamella (discharge of pus), incisions.

109

FESSLER. Oesterr.-Ungar. Vierteljahrsschrift fur Zahnarzte, April, 1891.

 

"

Phlegmon extending to breast.

Death after some weeks.

 

110

LINDEMANN. Munch. Med. Wochenschrift, 1887, No. 25.

Woman, age 66.

Extr. of 5 teeth.

Purulent gastritis from swallowing infectious matter.

Death after 10 days.

 

111

FESSLER. Oesterr.-Ungar. Vierteljahrsschrift, April, 1891.

Woman, age 26.

Extr. of roots in narcosis.

After some days slimy, purulent sputum, cough, pain right side of breast, pulse 140-160, stinking sputum, abscess.

Recovery after 3 months.

Treatment: incision and drainage.

112

FESSLER. Ibid.

Girl, age 19.

Extr. several teeth in narcosis.

Pneumonia, purulent pleuritis, empyema.

Recovery.

Treatment: empyem. operation.

113

BURDETT. Ohio State Journal of Dental Science, 1886, p. 331.

 

Attempted extr.

Swelling, oedema of face, abscess of orbit.

Blindness.

 

114

ZWICKE. Charite Annal., Jahrgang 11, 1884, S. 451.

Workman, age 43.

Extraction.

Inflammatory swelling of cheek with repeated fistulas, abscess of antrum, partial necrosis of upper jaw.

Recovery.

 

115

RITTER. Deutsche Med. Seitung, No. 46, 1891.

Healthy carpenter, age 45.

Extr. l. i. 2 m.

Swelling of jaw and lymphatic glands, trismus, fever, gangrene, necrosis, septicaemia.

Death after a few days.

 

116

MADELUNG. Private communication.

Boy, age 4 1/2.

Extr. r. 1 m.

Necrosis of alveolar process.

Recovery after 9 months.

Treatment: repeated surgical operations.

117

GALIPPE. Jour. d. conn. med., 1889, No. 40, p. 314 et No. 41, p. 321.

?

Impeded erup. of 3d molar.

Repeated swellings and trismus, fistulae, myostitis, meningitis.

Death.

Treatment: Extr., sublimate.

118

GALIPPE. Ibid.

?

" "

Osteoperiostitis, abscess in fossa pterygoidea.

"

Pus made its way to sinus of base of brain.

119

TUEFFERT. L’union medicale, Vol. II, 1877, p. 618.

?

" "

Perimaxillary abscess, abscess of brain.

"

 

120

DESPRES. Jour. d. conn. med., 1887, No. 13, p. 103.

?

" "

Phlegmon, asphyxia, sepsis.

"

Treatment: tracheotomy.

121

BAXTER. Dental Cosmos, 1879, p. 590.

Child, age 3.

Sucking the father’s toothbrush.

 

Syphilis.

 

122

? Ibid., Vol. X, p. 218.

Young lady, age 19.

Bite of her bridegroom in lip.

 

"

 

123

AMBROSOLI. Ibid., p. 390.

 

Cigar stumps.

 

"

 

124

AMBROSOLI. Ibid.

 

"

 

"

 

125

MAURY. Ibid., Vol. XIII, pp. 103 and 330.

 

Kiss.

 

"

 

126

MAURY. Ibid.

 

"

 

"

 

127

HAYWOOD. Ibid., p. 330.

 

"

 

"

 

128

NIEMEYER. Ibid., Vol. XII, p. 53.

Family of 10 persons.

Sugar teats.

 

"

 

129

? Ibid., Vol. VII, p. 664.

 

Kiss.

 

"

 

130

? Ibid.

 

"

 

"

 

131

DECHAUX. Ibid., Vol. IX, p. 161.

10 workmen.

Use of gas-blower’s pipe or tube.

 

"

The tube was passed from one to the other.

132

LANCEREAUX. Proceedings Academie de Med. de Paris (L’union medicale, 1889, p. 655).

Woman.

Extr. and filling.

 

Chancre of lower lip.

 

133

GIOVANNI. Lo Sperimentale, 1889, p. 262.

?

Dental Operations.

 

Chancre of lip.

 

134

RODDICK. Montreal Medical Journal, 1888, p. 93.

Woman, age 30, perfect health, mother of healthy children, wife of physician.

Extr. with considerable laceration.

Sloughing, induration, swelling of glands, etc.

Syphilis.

 

135

PARKER. Western Dental Journal, Feb., 1890.

Young woman.

Extraction.

 

Syphilitic infection.

The disease was subsequently communicated by the woman to her husband.

136

BULKLEY. Dental Review, 1890, p. 347.

Gentleman of position, age 60.

Various dental operations by quack dentist, with unclean instruments.

 

Syphilis (chancre of tongue).

Resulting from a wound on the tongue.

137

LELOIR. Lecons sur la syphilis, 1886, p. 62.

Man.

Cleansing.

 

Chancre of gums.

 

138

LYDSTON. Journal of the Med. Assoc., 1886, p. 954.

Woman.

Cleansing and filling.

 

"

 

139

DULLES. Med. and Surg. Reporter, Jan., 1878.

Servant girl, good character.

Extraction.

 

Chancre of lips 2 weeks after extraction.

 

140

OTIS. Lectures on Syphilis, New York, 1887, p. 102.

 

Filling.

 

Chancre of lips 3 weeks after extraction.

 

141

Private communication.

Lady.

Transplantation.

Chancre, followed by general syphilitic infection.

 

The transplanted tooth was taken from the mouth of a streetwalker.

142

" "

"

Extr. of r. i. c. i.

Chancre of gums, subsequently mucous patches, skin eruptions.

   

143

ROCKEY.

Bartender.

Bite in left thumb.

Sequester, phlegmonous suppuration.

   

144

ROCKEY.

Violinist.

"

Necrosis.

Loss of thumb.

 

145

ROCKEY.

Loafer.

"

"

 

Lost sight of.

146

ROCKEY.

Lieutenant.

"

Swelling in 24 hrs. of whole arm, septicaemia.

Death.

 

147

Private communication.

Dentist.

Wound in finger with dental instrument.

Chronic pyaemia, abscesses and phlegmons on all parts of body.

 

In the course of 2 years no less than 135 abscesses formed.

148

VERNEUIL et CLADO. Comptes rendus, 1888, Vol. II.

 

Wound of finger with clasp of plate.

Abscess at point of finger.

 

Pus contained spirilla.

149

HORSLEY. Lancet, July 24, 1886.

Boy, age 7.

Carious milk molar.

Pain, swelling, chills, high fever, total necrosis mandib., metastatic absc., meningitis.

Exitus letalis.

The entire necrotic mandibula was removed by the fingers in one piece.


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