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Remarks on a Case of Gummata of the Heart: Death from Heart-block: Rhythmical Contraction of the Auricles during the Long Pauses

1904; BMJ; Volume: 2; Issue: 2296 Linguagem: Inglês

10.1136/bmj.2.2296.1745

0959-8138

H. Handford,

Cardiac Arrhythmias and Treatments

E ta7145 CASE III.R. P., aged 63.No history of gonorrhoea; retention nine days; catheter two days.Urine: Neutral, contained blood.Parts removed: Weight, 28 grams; horse-shoe type of tumour with the urethra enclosed; "capsule" well marked.Microscopy; Fibro- adenomatous tissue; extensive round-celled infiltrations present; no micro-organisms seen.Bacteriology:-Urine: A pseudo-diphtheria bacillus.Prostate: Pure culture of the staphylococcus albus; neutral red jelly was decolourized and liquefied at the end of two days' growth.Serum test: Patient's serum was found to cause marked agglutination of the staphylococcus isolated from the prostate gland in the dilution of I in 20, but no reaction took place with a dilution of x in so.CASE IV.R. I., aged 75.Two months' frequent micturition; fourteen days retention, for which the catheter was passed three times during the twenty-four hours.Urine: ozo2, alkaline; contained blood, and pus, and crystals of oxalate of lime.Parts removed: Weight, 147 grams; twin tumour type with the urethra enclosed; "capsule" well marked.Microscopy: Spheroidal-celled carcinoma.Bacteriology: Blood agar and agar media were inoculated with the fluid from the interior of the gland.Result: Sterile.Urine: Not tested bacteriologically.! CASE V.J. H., aged 74.Difficulty of micturition eight months; much pain and almost hourly micturition on admission; retention for four days, catheter for a similar period.Urine: Slightly acid, contained pus and albumen.Parts removed: Weight, o00 grams; horseshoe type of tumour; urethra eDnlosed; "capsule" well marked.Microscopy: Fibro-adenomatous tissue; very extensive round-celled infiltration present, especially around the ducts; no micro.organismsseen.Bacteriology: Pure culture of the staphylococcus albus; gelatine media were completely liquefied at the end of four days' growth; urine was not examined.CASE VI.G. S., aged 64.Difficulty of micturition three months; retention requiring catheter four days.Urine: Result of examination is not stated in notes.Parts removed: Weight, 64 grams; twin tumour with urethra enclosed; " capsule" well marked.Microscopy: Fibro- adenomatous tissue; extensive round-celled infiltration present; large numbers of very short and stout bacilli with rounded ends, which do not stain by Gram, present in sections of the gland.Bacteriology: Pure culture of a bacillus coli isolated from the gland; diplococci, which stained by Gram, were present in the original culture, but were lost in plating; urine not examined.CASE VII.D. C., aged 75.No history of gonorrhoea.Six years' difficulty of micturition, requiring catheter at times; one month complete reten-