200 
GEORGE FLEMING. 
the operation is decided upon, to perforin it by excising the en¬ 
tire structure, and removing all the carious elements. The par¬ 
tial removal is to-day entirely abandoned, and entire extirpation 
accepted as the true and only operative procedure. The best 
method of performing it is that recommended by Renault and 
adopted in our colleges. We shall make it the subject of descrip¬ 
tion with all necessary details, and with various modifications as 
performed by other practitioners ; we shall also offer some obser¬ 
vations upon various other modes of performing the operation 
in question. 
{To be continued .) 
ACTINOMYKOSIS; A NEW INFECTIOUS DISEASE OF ANIMALS 
AND MANKIND.* 
By George Fleming, F.R.C.V.S., Army Veterinary Inspector. 
% 
(Continued fromp. 162.) 
Prognosis. 
The prognosis must depend not only upon the locality or 
anatomical seat of the disease, but also upon the extent to which 
it has developed itself. When an important organ is involved, 
and that extensively, or when the disease is but slightly advanced 
but is beyond reach, then the prognosis must be unfavorable. 
When it is accessible, and has not caused serious alteration, and 
when it can be removed or palliated within a certain time, then it 
must be pronounced favorable. Sometimes spontaneous recovery 
takes place, probably owing to the fungus losing its vitality, 
through diminished nutritive supply from retraction of the 
connective tissue stroma, and its becoming encapsuled in lime 
salts. 
Treatment. 
The treatment of actinomykosis belongs exclusively to the 
domain of surgery, and its object must be the extirpation or de¬ 
struction of the microphyte. This is only possible when it is acces- 
*From The Veterinary Journal. 
