Abstract

The recent developments in bacteriology and pathology have demonstrated conclusively the fallacy of the previously accepted theory of the essentiality of puerperal sepsis, and likewise have been able to explain its manifold manifestations by showing that wound infections and puerperal infections are identical and may be due to a variety of pathogenic organisms. Streptococcus, staphylococcus, bacillus coli communis, gonococcus and pneumococcus are the most frequent causes of puerperal infection, while the bacillus of diptheria, anaerobic and other micro-organisms have been demonstrated to be occasional factors in the pathogeny. Streptococcus pyogenes is found in the body under a variety of circumstances, and is probably the most important cause of septicemia and pyemia following wounds of ulcerative endocarditis, of tonsillitis and erysipelas. Bacteriologic investigation shows it to be the most frequent cause of the various septic processes following labor, and it may be found pure or associated with other organisms. It has

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