XI 
HYPERTHYROIDISM WITH ORAL SEPSIS: 
A CASE REPORT 
By DR. FLORENCE STONEY, Bournemouth, England 
The following case is particularly instructive, even 
now, when many doctors still do not concern themselves 
with the condition of a patient’s teeth, and when in face 
of several years’ experience many others still deny that 
pyorrhea can cause hyperthyroidism, or that the conse- 
quent D.A.H. (disordered action of the heart) does 
occur with badly-wounded men, as well as in the un- 
wounded. Unfortunately, if a man has a serious 
wound, many times no notice is taken of this “neurotic” 
condition, and he is left to the comparative seclusion 
of his bed to recover a grip on himself if he can. 
It is very cheap and easy to say that the “X-rays 
only act by suggestion,” but no proof is brought for- 
ward, whereas, the microscope definitely proves that 
glandular tissue, when exposed to the rays, changes and 
atrophies. 
Certainly no amount of suggestion exerted on the 
patient, whose case is briefly outlined below, by those 
in charge of him, would have cured his D.A.H. (dis- 
ordered action of the heart) until the more radical 
methods were resorted to. 
Case: B. L., private in the Royal Scots, age 23, 
with 7 months’ service, was wounded in the left buttock 
and back at Hooge, Belgium, on Sept. 25, 1915. 
The bullets were removed at a Canadian hospital in 
France, the wounds being badly septic. 
123 
