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July 4, 1925


JAMA. 1925;85(1):52-53. doi:10.1001/jama.1925.02670010056028

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Congress of the German Society of Internal Medicine 

STAPHYLOCOCCUS AND STREPTOCOCCUS AFFECTIONS IN INTERNAL MEDICINE  Professor Schottmüller of Hamburg dealt with staphylococcus and streptococcus affections. Staphylococci and streptococci of skin and mucous membranes do not cause disease until they are carried into the blood and lymph streams. In the blood the micro-organisms soon perish, so that their presence cannot be demonstrated with certainty unless there are five billions or more to the cubic centimeter. The type of fever is dependent on the number of bacteria present. The fever is caused by the endotoxins of the bacteria, possibly in combination with body substances. A single invasion of bacteria into the blood stream does not produce sepsis, which results only when a focus becomes a constant source of bacterial invasions into the blood stream. Staphylococcus sepsis is caused by white or yellow, hemolytic or anhemolytic staphylococci. Rarely the infection may originate in

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