Volume 2

A manual of surgical treatment / by W. Watson Cheyne and F.F. Burghard.

Date:
1912-1913
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: A manual of surgical treatment / by W. Watson Cheyne and F.F. Burghard. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    ACTINOMYCOSIS threads are found which stain well by Gram's method. The disease, when once established in the bone, may lead to metastatic deposits in the glands, or in other bones. There is usually no fever accompanying the affection, which varies very much in its virulence, some cases being quite mild, and others being almost beyond the reach of treatment. TREATMENT.—As soon as the disease is evident, the affected bone should be cut down upon ; if only a small portion be affected, the diseased area should be excised. If it be too extensive for this, the swelling must be thoroughly opened and scraped away, until as much of the disease as possible has been removed. Iodide of potassium in large doses (gr. xxv- xxxv) should then be given three times a day and continued for a pro- longed period. Very satisfactory results are obtained in this way, and an actual cure may result even in extensive cases.