ASSOCIATED SPIROCH^T.^ AND FUSIFORM BACILLI. 



491 



Table I.- 



-Occiirrence of spiroohcetce and fusiform bacilli in throat and mouth 

 lesions in the Philippines. 



Pathological condition. 



Ulcers of tonsil, cause uncertain 



Ulcers of tonsil, probably syphilitic 



Ulcers of faucial pillars, probably syphilitic 



Ulcers of gums (ulcerative stomatitis) 



Ulcers of gums, probably syphilitic 



Ulcer of cheek 



Ulcer of soft palate, probably syphilitic 



Ulcer of tongue, probably syphilitic 



Membranes on tonsil, cause uncertain 



Mucus patches, syphilitic 



Chancre, tongue 1 



Chancre, tonsil 



Aphthous stomatitis 



Diphtheria tonsilar . 



Tonsillitis, acute, follicular 



Sprue 



Carcinoma of soft palate 



Total 





I^resent 

 in pre- 

 ponder- 

 ating 

 num- 

 bers. 



Present 

 in small 

 num- 

 bers. 



Absent. 





16 

 4 

 



9 

 

 



^ 









 



1 



4 

 

 

 

 

 

 5 

 







8 

 5 

 3 

 3 

 

 1 

 1 

 1 

 6 



1 

 1 

 5 

 4 

 6 . 



1 

 









6 

 1 









 2 

 1 

 2 

 2 

 

 

 

 

 3 

 

 1 



























a38 



22 



50 





•'' The discrepancy between 38 in this column and the 34 positive cases found is due to 

 the fact that 4 of the cases had positive lesions in two different localities in the throat 

 or mouth. 



It will be observed that tlie two organisms were present in preponderat- 

 ing numbers in a considerable variety of conditions, the number of positive 

 findings being highest in ulcers of the gums and of the tonsils. Twenty- 

 seven of the lesions tabulated by us were apparently syphilitic, 2 being 

 primary, 2 tertiary and the remainder secondary, and in these luetic 

 cases the organisms of Yincent were found in preponderating numbers 

 in 10 and in small numbers in 1. In not all of these presumably specific 

 cases was the diagnosis absolutely unassailable, but in some of those in 

 which the fusiform bacilli and spirochsetse were demonstrated in large 

 numbers the diagnosis of syphilis was as certain as one could wish, being 

 confirmed by the finding of Treponema pallidum, by the presence of a 

 positive Wasserman reaction, or by the existence of unmistakable physical 

 signs outside of the mouth. 



106711- 



