In our last issue1 there was published a brief note on the surgical treatment of the plague at Rio de Janeiro, by Profesor Terni, as reported by Acting Assistant-Surgeon Havelburg, of the Marine-Hospital service. The theory advanced in favor of this method is that at a certain stage of the disease it is arrested in the lymphatic glands, which form a rational protective rampart against its infection of the blood. It is only in these glands that it settles, develops and produces its toxin, and if the reactive inflammation produces suppuration so as to check the development of germs, the disease is localized, otherwise the toxins produced, together with the corpuscular substance of the bacilli themselves, will enter the circulation and the infection become general. With this view of the progress of the disease the suggestion of a surgical therapeutics was a natural one and Dr. Havelburg reports in
THE SURGICAL TREATMENT OF PLAGUE. JAMA. 1900;XXXV(22):1415. doi:10.1001/jama.1900.02460480035008
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