THE GOXOCOCCUS IX ABSCESSES. 237 



the gonococcus is constantly found in the effusion of joints in gon- 

 orrhoeal rheumatism, in abscesses caused by gonorrhoea, and in the 

 glands of Bartholin. He further states that it is found free in the 

 fluid, but mostly it is incorporated in the protoplasm of pus-corpus- 

 cles. Petrone detected the specific microbe in the effusion of joints, 

 and in the blood, in two patients suffering from gonorrhoeal rheu- 

 matism. He regarded the joint complications as metastatic pro- 

 cesses caused by the gonorrhoeal infection. 



Kammerer (" Ueber gouorrhoeische Gelenkentziindung," Central- 

 blatt f. Chirurgie, 1884, No. 4) examined the fluid from two cases 

 of gonorrhoeal arthritis, and found micrococci present in one and 

 absent in the other. 



At a meeting of the Gesells. d. Aerzte, in Zurich, Prof. Haab 

 (Correspondence, British Medical Journal, June 2, 1888) read a 

 paper on a generalized or constitutional gonorrhoeal infection devel- 

 oping consecutively to specific urethritis. He often met cases of 

 gonorrhoeal iritis and irido-cyclitis, as well as of conjunctivitis, 

 originating without any direct transmission of the urethral dis- 

 charge. In cases of the latter kind no gonococci were present in 

 the coujunctival secretion, the disease usually running a mild and 

 favorable course. He further cites a striking case of general infec- 

 tion after urethral gonorrhoea, in which death was threatening in 

 consequence of extreme exhaustion, caused by a continuous, uncon- 

 trollable fever of many weeks 7 duration. The man was suffering 

 from effusion into his knee- and elbow-joints, abscesses in the left 

 axilla, prolonged and obstinate cystitis, and double ophthalmia of 

 the severest kind, ending in complete destruction of one eye and a 

 serious disorganization of the other. No microbes were found in 

 the articular exudation, but the axillary abscess was found to con- 

 tain staphylococcus. Prof. Haab seems to think that this case is 

 an instance of a mixed general infection with gonococcus plus 

 staphylococcus. 



Bergmann (" Gonitis gonorrhceica mit Coccen," St. Petersburger 

 med. Wochenschrift, 1885, No. 35) found gonococci in pus removed 

 from a knee-joint of a patient suffering from gonorrhoea, three 

 weeks after the beginning of the urethritis. 



Haslund (" Beitrag zur Pathogenese des gonorrhoeischen Rheu- 

 matism us," Vierteljahrssehrift f. Derm. u. Syph., B. ix. p. 359), on 

 the other hand, was unable to find the specific cocci of gonorrhoea 

 in eleven cases of synovitis in gonorrhoea patients. 



Hoffa (" Bacteriologische Mitth. aus der chir. Kliuik des Prof. 

 Maas, Wiirzburg," Fortschritte der Mediein, B. x. p. 75) found no 

 gonococci in a purulent synovitis occuring in a patient suffering 

 from gonorrhoea, but in two cases in which bubo formed he found 

 staphylococcus pyogenes albns and aureus in the pus of the abscesses, 



