﻿562 



SHATTTJCK. 



Spirocliceia refringens and two other varieties of spirochcetce were 

 observed, but they were not believed to bear a causal relationship to 

 the ulcers. Evidence of division was seen among the spiroehaetse. 



Microscopical findings in brief. 





Number of 

 cases. 



Percent- 

 age. 



Pus and pyogenic bacteria . 



34 

 5 



2 



100 

 15 

 6 



Spiroeheetse. __. 



Blastomyces _ 





CONCLUSION. 



Oriental sore as described in the text-books, Madura foot, and the 

 typical phagedenic ulcer of ITanson and Scheube were looked for in 

 vain. Xo varicose ulcers were seen. The proportion of ulcers due 

 to typical phagedena, blastoniyces, and infections sui generis is small. 

 A very large proportion of the chronic ulcers are syphilitic. Owing 

 to neglect, the lesions are unusual in degree if not in kind, and they 

 become very destructive. 



The view that Spiroclueta refringens is a bacterium is supported by 

 strong evidence of transverse division. 



LITERATURE. 



(1) Strong.. Kichard P. This Journ. (1906), 1, 91. 



(2) Manson, Patrick. Tropical Diseases (1906). 



(3) Mense, Carl. Handb. der Tropenkrankheiten (1905). 



(4) Scheube, B. Die Krankheiten der Warmen Lander (1903). 



(5) Fox, Herbert. Univ. of Perm. Med. Bull. (1906), 19, 266. 



(6) Stelwagon, H. W. Diseases of the skin (1905). 



(7) Novy and Knapp. J. Infect. Dis. (1906), 3, 291. 



(8) Goldhorn. J. Exp. Med. (1906), 8, 451. 



(9) Giemsa, G. Deutsche med. Wchnsch. (1905). 31, 1026. 



