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August 1926


Arch Intern Med (Chic). 1926;38(2):226-236. doi:10.1001/archinte.1926.00120260084008

The cases in this report are of particular interest because they offer suggestive clinical evidence as to the mechanism of the formation of a mycotic process, and illustrate the probable cause of pain in such a condition. Clinical evidence also suggests that the pathologic process is the same in arteries and veins, and differs only in the end-result.

Mycotic (bacterial) infection of blood vessels may occur as has been discussed by Stengel and Wolferth,1 as a result of an embolus in the lumen of a vessel, by implantation of infected material on the intima, or through emboli in its vasa vasorum. In favor of the last named mechanism the following cases are offered as suggestive evidence. In both cases there was pain in the region of artery and vein for a period of time before tumefaction appeared. Since it is generally accepted that an embolus in a large blood vessel

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