SPECIAL FORMS OF CONJUNCTIVAL INFECTION 233 



MORAX, K. M. f. A., 1900, S. 349. Ibid., Etiologie des ophthalmies des nouveaux- 



nes. Ann. d'ocul., 1902, CXXIX, p. 346, and Maladies de la conjunctive, 



1905 (Encj-clop. franc, d'opht.). 

 PALDROCK, Staph. alb. den Gonoc. Neisser vortauschend. Dermat. Zentralbl., 1904, 



Nr. 11. 



PES, A. f. A., 1905, S. 159, Bd. 51. 

 SCHMIDT-RIMPLER, Blennorrhoe u. Diphtherie. Klin, therap. Wochenschr., 1901, 



Nr. 9. 

 SIDNEY STEPHENSON et ROSA FORD, Ophthalmie intrauterine. La Clin. ophtb., 



1906, p. 179. Ibid. 

 VON SIKLOSSY, Ann. d'ocul., July, 1898. 

 SYM, Edinb. Med. and Surg. Journ., August, 1904. 

 THORNER, Charite-Annalen, 1904, S. 340 (4 Falle). 

 URBAHN, A. f. A., 1901, XLIV, Erganzungsheft. 

 VANNOD, L'agar ordinaire, comrne milieu de culture du gonocoque. Zentralbl. f. 



Bakt., 1905, XL, S. 162, and 1907, XLIV, Orig., p. 10. 

 WILDHOLZ, Arch. f. Dermatol. u. Syph., 1902, and Habilitationsschrift. Bern, 



1902. 

 ZABEL, Uber die Blennorrhcea neonatorum ohne Gonokokken. Inaug. Dissert., 



Halle, 1903. 



SECTION 6. STAPHYLOCOCCAL CONJUNCTIVITIS. 

 PLATE II., FIGS. V., a AND b; VI., a AND b. 



StapJiylococci are very common on the normal conjunctiva, and also 

 in irritative conditions of varied pathology. It is therefore difficult to 

 sharply delimit a staphylococcal conjunctivitis, and the difficulty is 

 increased by the regular failure of repeated attempts to produce a 

 catarrh by the inoculation of pure cultures of virulent StapJiylococci 

 pyogenes aureus on the human conjunctiva (Leber, Sattler, Bach, 

 Hirota). Collica-Accordina only succeeded three times in producing a 

 conjunctivitis by inoculating very virulent aureus on to the intact 

 conjunctiva of newly-born dogs. 



This, of course, is no proof that, under special circumstances, 

 virulent Staphylococci (particularly the aureus, which is rarely found 

 on the normal conjunctiva) are not able to produce a conjunctivitis in 

 man, especially when an irritated condition is already present. 



Bach and Neumann report that the introduction of aureus into the 

 conjunctiva of a patient who was suffering from a subsiding phlycten 

 caused the profuse secretion to recur. Its prevalence in so many 

 cases of new-born catarrh which are not gonorrho3al, is in favour 

 of its causal significance in these cases (Axenfeld, Groenouw, von 

 Ammon) ; in their secretions we find Diplococci which are certainly 

 very like Gonococci, but can be at once differentiated by the Gram 

 stain (see Plate II.). 



