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WITH REPORT OF CASE

EUGENE H. POOL, M.D.; FRANK J. McGOWAN, JR., M.D.

Arch Surg. 1924;8(3):763-771.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Septic thrombophlebitis, irrespective of its site, always induces a serious clinical picture, frequently with unfavorable prognosis. Whether it involves the lateral sinus, a tributory of the portal vein, the pelvic veins or veins of the extremities, insidious and progressive advance of the thrombus is the usual course. The clot laden with bacteria softens, and small particles with engulfed micro-organisms enter the blood stream. For a time, the showers of micro-organisms are apparently destroyed by the bactericidal agents of the body. Blood cultures are then not invariably positive. The condition is an intermittent bacteremia (Martin¹ ). The prognosis depends on many factors, but it is largely a question of the ratio between the number, type and virulence of the micro-organisms and the resistance of the host.

In general, the infection overwhelms the resistance. Organisms are arrested by the liver or lung, with resulting abscess formation therein, or they pass through these . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

Footnotes
Read before the College of Surgeons, Philadelphia, Nov. 7, 1923.

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