16,1 Fernandez: Focal Dental Infections 95 
extremities freely. After the sixth injection the patient was 
able to sit up in bed without any trouble; after the eighth, she 
could walk alone. Her general condition improved, and she was 
finally cured very rapidly. 
Case U. — M. de F., adult, female, Filipino; with previous 
history of some rheumatic affection, and complaining of intense 
pain in the left shoulder. The radiogram of the shoulder showed 
evidence of Arthritis deformans. She received medical, dietetic, 
and electric treatment with no improvement. I suggested that 
an X-ray picture be taken of her teeth, and the radiogram 
showed an abscess in the first bicuspid, right inferior maxilla, 
and abscess also in both bicuspids, superior maxilla, with pyor- 
rhoea in the lower incisors. Culture taken from the pyorrhoea 
was positive for Micrococcus viridans. Autovaccine was pre- 
pared, and injections of it ameliorated her symptoms, and com- 
plete improvement is expected when her teeth will be entirely 
cured as she is at present under the care of a good dentist. 
Case 5. — P. J. C., adult, European; suffering from articular 
manifestations for twenty years. He was always under die- 
tetic and medicinal treatment, without showing real improve- 
ment. Radiogram of both maxillae positive for pyorrhoea in 
the last molar, left lower maxilla, and abscess in the last two 
molars, left inferior maxilla, with pyorrhoea in the second false 
molar and the first molar, superior maxilla, left side. The two 
inferior molars were extracted and the culture taken was posi- 
tive for Micrococcus viridans. Vaccine was prepared and after 
the second injection the patient was able to wear his shoes, and 
he experienced no trouble on walking. 
Case 6. — V. de C., adult, Filipino, female; with previous 
history of rheumatism following an attack of paratyphoid fever. 
Ever since she has been having fever with temperature be- 
tween 38° and 39° and occasionally as high as 40°. All the 
intestinal symptoms of paratyphoid have disappeared, but there 
is persistence of some articular pain. There is no indication of 
any tuberculous lesion. Radiogram of the teeth shows evidence 
of pyorrhoea in the false molar and the molar supporting a 
bridge in the inferior mandible, right side; pyorrhoea in all 
the false molars left side, upper mandible, and also in the two 
false molars and the first molar, right side, upper^ mandible. 
Extraction of the false molars and the true molars, which were 
quite movable in their sockets, was followed by the disappearance 
of fever, though later the fever recurred, but in a very slight 
degree. Culture was positive for Micrococcus viridans. Auto- 
