152 



PiiliiK)iiai-y Gangrene. 



erable elevation of temperature, or to pulmonary consolidation ; 

 it is, however, always present as a concomitant factor in pul- 

 monary o-angrene. The differential diagnosis becomes partic- 

 ularly difficult if putrid bronchial catarrh is present in connec- 

 tion with bronchiectasis ; the constancy of abnormal percussion 



c= rc:- 





sounds and rather insignificant disturbances of the general 

 condition speak in favor of l)ronchiectasis. In gangrenous 

 inflannnation of the upper respiratory passages, especially of 

 tlie pliarynx, the nose and its accessory cavities, one finds, aside 

 from the putrid smell of the exhaled air, other symptoms point- 



