BACTERUL INOCULATION 



267 



bacterins and tuberculins in many cases have possessed 

 considerable accessory value (Figs. 46 and 47). Our 

 experience with pyocyaneus, fluorescens, and lactis 

 aerogenes bacterins in any condition has never been 

 glorifying. Tuberculosis commonly involves the skin 

 and subcutaneous tissues, especially the lymph-nodes, 

 and is notably associated with sinuses and fistul^e. 



Fig. 47. — Mrs. B. Pelvic abscess with recto-urethro-vaginal fistulae. Note the fall of 

 temperature to normal as the curve of opsonic antibodies rises. 



The reader is referred to Chapter XYI, where the in- 

 oculation treatment of this disease is detailed. 



Actinomycosis. — Actinomycoses may involve the 

 lungs, liver, kidneys, bladder, brain, abdominal viscera, 

 bones, genitalia or subcutaneous tissues. Actinomyco- 

 tic inoculations in the pulmonary, hepatic, renal, 

 vesical and cerebral forms of the disease are of little 

 or no value. Actinomycotin, standardized so that one 

 cubic centimetre contained one milligramme of the 



