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April 23, 1938


JAMA. 1938;110(17):1342-1343. doi:10.1001/jama.1938.62790170002008a

Because of renewed general interest in venereal infections and the exceptional rarity of reported venereal wound infections, I am offering this report. An examination of the literature does not reveal a single case of a pure gonorrheal infection of an abdominal incision. Many cases of skin manifestations of gonorrhea have been reported, but living gonococci in the fatty tissues are undoubtedly rare.

REPORT OF CASE  A married woman, aged 44, the mother of three grown children, was seen early in the morning of Sept. 15, 1937, with all the typical symptoms and signs of an acute appendicitis. She was hospitalized at once and a count of 20,700 white blood cells, of which 97 per cent were polymorphonuclears, was obtained. Immediate operation was agreed on and the patient was prepared. Owing to the typical history and physical signs of acute appendicitis and a negative bimanual vaginal examination, a right rectus incision