Abstract

The work which forms the basis of this paper was done in the transportable laboratory assigned to evacuation hospital No. 8 during the St. Mihiel and Argonne-Meuse operations. An effort was made to obtain information of a clinical character, such as that relating to the time between the injury to the patient and the operation; exposure to wet and cold; influence of shock and exsanguination; character of wounds— whether produced by shell fragments or rifle bullets; removal or retention of foreign bodies; impairment of local circulation; involvement of bone; character of the soil over which the fighting occurred, and, lastly, the nature and the influence of operative interference. Along bacteriologic lines, a special effort was made to secure the more important anaerobes, such as B. welchii, Vibrion septique, B . oedematiens and B. sporogenes . The hemolytic and nonhemolytic varieties of streptococci were studied in cases in which gangrene had developed and

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