S66 



APPLIED IMMUNOLOGY 



may be either the staphylococcus or streptococcus, 

 consequently culture and the appropriate autogenous 

 bacterin may be employed with benefit. In impetigo 

 the result is uniformly successful ; in sycosis treatment, 

 ofttimes prolonged, should result in fifty per cent, 

 cures, the remainder showing improvement. 



Sinus and Fistula. — Various bacteria, as the 

 Staphylococcus, Streptococcus, B. coli, B, proteus vul- 



Fia. 46. — Temperature. Patient, W. F. Subdiaphragmatic abscess drained per 

 laparotomy; a, patient very comfortable, drainage satisfactorj'; h, patient complains 

 of pain in hepatic region; c, leucocytes 20,000; d, excessive suppuration; e, suppura- 

 tion variable but very profuse; /, patient's appearance improved, feels much stronger; 

 g, patient discharged from ward; h, treated in out-patient department; i, suppuration 

 markedly decreased; k, discharge from wound very slight; /, marked gain in strength 

 and health; m, no discharge; n, sinus healed; 1, pus demonstrates M. aureus and 

 alhus; 2, inoculations M. aureus bacterin J^ c.c. This case illustrates how admirably 

 active immunization can be conducted by resort to the clinical symptomatology as 

 a guide, to the exclusion of the opsonic index. 



garis, B, tuberculosis, B, pyocyaneus, B. fluorescens, 

 B, lactis aerogenes, etc., have been found. The re- 

 sults in fistulse have been unsatisfactory; in sinuses, if 

 no surgical indications exist and lavage of the tract 

 with Wright's solution to promote osmosis and hyper- 

 semia is used to facilitate the effectiveness of therapy. 



