ADDENDUM 173 



author regards as misleading and valueless Kocher's blood count as a cri- 

 terion of differentiation between exophthalmic and nonexophthalmic goiter. 

 He treats goiter, with striking reduction of the goiter, by the use of intes- 

 tinal antiseptics such as salol and thymol, milk soured by the bacillus bul- 

 garicus and the injection of vaccines prepared from bacillus coli. His 

 publication contains a map showing how goiter is distributed. 



Gilbride has made a bacteriological examination of the contents of eight 

 cystic goiters, with negative results, save in one case in which he found the 

 streptococcus vermiformis of Sternberg. McCarrison states that Horand has 

 reported the presence of a parasite in a goitrous cyst, but adds that in 

 neither this work nor in that of Gilbride is there sufficient evidence to justify 

 the suspicion that the organisms found are causal agents in the production of 

 goiter. 



REFERENCES 







Clark (7\), and Pierce (C. C.). Endemic goiter. Its possible relationship to water 

 .pply. U. S. Public Health Reports, April 17, 1914. 



McCarrison (R.). The etiology of endemic goiter. London, John Bale Sons & 

 Danielsson, 1913. 



Gilbride (J. /.). Cultures from the thyroid gland in goiter. A bacteriologic study 

 of fourteen cases. J. Am. M. Ass., Chicago, 1911, LVII, p. 1988. 



Horand (R.). Examen a 1'ultramicroscope du liquide du goitre kystique; presence 

 d'un parasite. Rev. gen. de Clin. et de Therap. Par., 1911, XXV, p. 71. 



