196 An Introduction to Medical Mycology 



liferation of this tissue produces the encapsulation and resultant cure. Some 

 patients are unable to tolerate iodides. 



(2) Roentgen rays.— It is customary to administer roentgen rays in semi- 

 intensive dosage with some filtration. While there is no direct fungicidal 

 effect, the effect on granulomatous tissue and perhaps the blocking off of 

 the lymphatics are of aid. 



(3) Surgery.— This is of no avail; but if fluctuation is present, a single 

 incision may be made. It is better still to aspirate the pus without surgical 

 incision. 



(4) Local medication.— Dressings of Burow's solution (1:15) or of potas- 

 sium permanganate (1:3,000) may be applied for half an hour several times 

 daily. Gentian violet (1 per cent aqueous solution) may be used to irri- 

 gate the lesions, or Lugol's solution ( half -strength ) may be applied. 



(5) Thymol.— In case of intolerance to iodine, this may be given a thera- 

 peutic trial. 



(6) Penicillin and streptomycin.— These are ineffectual. 



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