CELLULITIS 23 



Why does pus not coagulate f 



On account of the absence of fibrinogen, wliicli has been 

 changed into an albuminous substance (peptone) by the pus 

 cocci. 



What takes place when the suppurative process does not con- 

 fine itself to the wound hut spreads to the swrrounding 

 tissues ? 



A diffused form of suppuration of the connective tissue 

 is termed a phlegmonous inflammation. When the lymph 

 vessels undergo inflammation, it is called lymphangitis ; the 

 veins, phlebitis. When pus cocci and their toxines (poisonous 

 alkaloidal substances developed by bacteria) enter the general 

 circulation, surgical fever, pyaemia and septicaemia may 

 set in. 



CELLULITIS. 



Define cellulitis ? 



It is an infectious, mostly suppurative inflammation of 

 the cellular tissue, and may be subcutaneous, submucous, 

 subfacial, intermuscular, periosteal, perichondreal, tendo- 

 vaginal, etc. 



What other name is employed to designate cellulitis 9 

 Phlegmonous inflammation. 



Name the causes of infectious or suppurative cellulitis. 



Most frequently the staphylococcus pyogenes aureus and 

 streptococcus pyogenes enter the wound. 



What kind of wounds predispose to cellulitis 9 



Deep, punctured, contused, lacerated ; very often the 

 wound is small or even closed when cellulitis sets in. 



