MICROCOCCUS GONORRHEA 87 



in man. Streptococci produce a slight amount of extracellular 

 poison, but more arises from the disintegration of the bac- 

 terial cells. The vaccine treatment is not always successful. 



An antistreptococcus serum has been prepared by injecting 

 horses with a number of cultures in order to call forth anti- 

 bodies to all varieties. In all cases of severe streptococcus 

 infection this should be used and good results have been 

 reported from some quarters. 



To diagnosticate infections by the staphylococcus or 

 streptococcus we are obliged to make our technic suit the 

 individual case. If an abscess exist it is sufficient to collect 

 the pus. If a cellulitis or bone disease is to be examined, it 

 is necessary to go deeply into the tissue and select the bloody 

 material near the healthier tissue. In septicemia or heart 

 disease a blood culture is made. Both organisms grow with 

 ease upon ordinary culture media. 



MICROCOCCUS GONORRHEA. 



Gonorrhea is an acute inflammatory and pus-forming 

 disease with its chief manifestations 'in the mucous mem- 

 brane of the urethra. It is caused by the Micrococcus 

 gonorrhea or gonococcus, which enters the mucous mem- 

 brane directly wherever there is a slight, even invisible, 

 abrasion. This disease is one of the venereal affections, and 

 is probably one of the most prevalent of all diseases. In the 

 male its acute stage lasts for three to six weeks, while in the 

 female it may be transient or pursue a very long course. In 

 both sexes it tends to infect the other genital organs, and is 

 probably the chief cause of salpingitis and oophoritis. In 

 later stages when all bacteria have not been removed by a 

 perfect cure, the germs penetrate to the deep parts of the 

 mucous membrane of the external urinary channel, and there 

 rest for long periods apparently undestroyed by the protec- 

 tive forces of the body, and without setting up any change 

 by which their presence can be detected. They may be 



