CHRONIC INFECTIOUS DISEASES 113 



of nymphomania. I will give some examples occur- 

 ring in my own practice. 



1. A shorthorn pedigree cow became infected with 

 granular vaginitis, presumably from a bull. This 

 animal was treated for the vaginitis with astringent 

 antiseptic douches. After about ten days of this 

 treatment the vaginitis had presumably disappeared. 

 A month later the animal was put to bull, but did 

 not become pregnant. After several subsequent 

 services the animal remained sterile. The owner 

 was very anxious that this animal should breed, so a 

 thorough examination of the generative organs was 

 made. Vaginal examination revealed an inflamm- 

 atory condition of the external os uteri, with a muco- 

 purulent discharge from the cervix. Rectal examina- 

 tion revealed a thickening of the right Fallopian tube 

 to about the size of a lead pencil. The right horn of 

 the uterus was much larger than the left. Diagnosis : 

 Cervicitis, endometritis, and salpingitis. 



Treatment consisting of intra-uterine douches of 

 Lugol's solution w^as commenced. After about three 

 weeks of this treatment the inflammatory condition of 

 the OS uteri and thickening of the right horn had dis- 

 appeared ; however, enlargement of the tube remained, 

 together with a slight uterine discharge, or, to be 

 more precise, the uterus contained a small quantity 

 of muco-purulent fluid. A swab of this discharge 

 was taken and examined microscopically; strepto- 

 cocci were found. From these streptococci a vaccine 

 was prepared, and on the twenty-fourth day of treat- 



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