OF PUS IN THE BLOOD. 
45 
Case IV. — In a woman who died of puerperal peritonitis, the 
peritoneum contained a large quantity of coagulated lymph, serum, 
and purulent matter. 
Pus was detected in the blood obtained from the right ventricle 
of the heart. 
Case V. — 'James Green, set. 27, was admitted into the hospital 
with an ulcer of the leg. Seven days afterwards, the limb began to 
swell, and there was hardness of the femoral vein, with some red- 
ness in the course of the absorbents on the inner side of the thigh. 
The swelling of the limb increased gradually : he had first pain in 
the head, thirst, and quick pulse ; then purging, pain in one wrist, 
with restlessness, incoherency of speech, and offensive breath : 
finally, low muttering delirium, accelerated respiration, and coma, 
preceded his death, which took place on the twelfth day after his 
admission into hospital. 
At the post-mortem examination, the large veins of the limb 
were found to be occluded throughout by firm clots of blood, 
mixed with pus and coagulated lymph, and the lining membrane 
of the femoral vein was in many places of a red colour, and 
coated with fi brine. In the iliac vein no such signs of inflamma- 
tion appeared, although there was a large coagulum of blood, 
which had lost its red colour, containing in its centre a small 
quantity of matter resembling pus. Several purulent deposits 
presented in the sheath of the femoral vessels, and in the intermus- 
cular cellular substance. 
The matter resembling pus in the clot of the iliac vein had 
neither the chemical nor microscopical characters of that fluid. 
In some blood obtained for examination from the right ven- 
tricle, and from the vena cava, numerous globules of pus were 
found. 
Case VI. — James Hawke, get. 22, had a superficial wound of 
the tibia, followed quickly by considerable pain and swelling. 
There was a very scanty deposit of pus in the subcutaneous cel- 
lular tissue. The swelling of the limb increased and extended 
rapidly, the integuments becoming discoloured, and the slight sup- 
puration ceasing. His dissolution was preceded by subsultus, col- 
lapsed face, accelerated breathing, hiccough, and coma. 
The swelling of the limb was found to be produced by effusion 
of fibrine and sanguinolent serum. A few pus-globules were found 
in the blood obtained from the vena cava. 
Case VII. — M. Jackson, get. 42, had erysipelas of the face, 
which decreased, and was succeeded by jaundice and effusion 
into the pleura. He became listless and low, with accelerated 
respiration, and died six days after the appearance of the ery- 
sipelas. 
