Excerpts From An Interesting The 1915 Paper- Read the entire paper at
“I do not see any hope for treating streptococcemia in any other way than by getting at it through the blood stream. Take a rabbit that has recently given birth to its young, and throw into the uterine cavity streptococci, and six minutes later kill the animal, you can demonstrate the streptococcus in the liver. You can see how useless it is to use anything in the way of local means. We must consider the thing systemic and put something that is directly antiseptic in the blood. For this, the electrargol, which is more highly ionized than any other silver salt is probably the one of first choice
Polish woman, aged nineteen, small in stature. After a prolonged labor, she was instrumentally delivered of a 12}£ pound boy. She was torn through the rectovaginal wall nearly up to the cervix. A few days later she developed chills and fever. When admitted to the hospital, her temperature was 105, pulse 130. She was delirious and had no remembrance of her first four weeks in the hospital. During the first eleven days she was on another service where the usual treatment was carried out. Her condit
ion was desperate. Temperature varying from 98 to 106, pulse 80 to 135. Through the courtesy of the other service we were permitted to try colloidal therapy. Examination: General appearance one of exhaustion. Skin light lemon color with brown spots. Facies septic. Mind a blank. Localized findings negative, other than vaginal injuries. Temperature 104, pulse 90. Culture from cervix showed colon bacillus and a streptococcus, culture from blood staphylococcus aureus. Leukocyte count 9600. Two days later, 9 A. M., temperature 99; pulse 90. Injection electrargol 10 A. M., at noon temperature 102, pulse 105. Next day, temperature 100.8, pulse 100. Injection of electrargol at 12 M., temperature 101.7, pulse 100. Never again above 100. After forty-eight hours the temperature remained normal.
Two weeks later the vaginal injuries were repaired, healing by first intention. She made a
splendid recovery, leaving the hospital four weeks later in good physical condition. She lately reported that she is several months pregnant
Dr. Bauchman, Richmond, Virginia.
This is certainly a very interesting paper. It takes me back to 1900 when I visited Crede the younger in Dresden. You are no doubt familiar with the colloid Crede ointment. He invited me to see him operate. He took a probe, stuck it into an abscess, put some of his silver solution on it, and offered me to put it in my mouth. I did not care to do so, but he did put it in his own mouth. He told me that this silver solution would cure any sort of septic trouble.
I am very much interested in this matter, I have seen a few cases of sepsis, and I have used this ointment in the treatment of septic cases. Dr. Brown has given us an intelligent and interesting explanation of the faith Crede had in him. I believe that cases of septicemia which are not of streptococcic origin are going to get well. In streptococcus infection I believe in giving them fresh air and as little interference as possible. I am now speaking of puerperal septicemia. I have discarded the Crede ointment method for some time because I have seen no improvement with it.
I have not seen any practical effect from the use of that ointment such as we have here with the method of silver injection recommended and advocated by Dr. Brown. His paper is profoundly interesting to me