ETIOLOGY OF TROPICAL LIVER ABSCESS. To the

Editor,

"

Indian Medical Gazette."

Sir,?My education has b?en too defective?I may say too Katabolic?to do full justice to Dr Smith's interesting and learned criticism on Surgeou-Captain Youuge's Theory of Etiology of Tropical Liver Abscess, or to understand the classical allusion to the late Henry V. and Alexander the Great. Dr. Smith's argument against Younge's statement as to the condition of the veins in pyaemia is a little strange,? " The condition of veins mentioned by Surgeon-Captain Younge is not invariable in pyemia." Pyaemic abscesses " said to be due sometimes to absorption of foul gases." are We may thus assume the various conditions described by " Surgeon-Captain Younge is not invariable in pyaemia I fear I am so much of the old-world doctrine school that I prefer to have two premises in a syllogism,?a conclusion not identical with the Major, and the word venous to veinous. Dr. Smith's view; on the Pathology of Pyaemia are at variance with those of Ogstou, Klebs, Pasteur and Billroth. On page 478, Die Allegerneine Cliirurgische Pathologie und Therapie, Billroth and Winiwarter, 14th August 1889, he " will see that from an etiological standpoint we may count as pyajmia all processes in which an organised poison, the pus cocci, having reached the blood path and been thrown off at various places in the vascular system, cause secondary suppurations." I suppose this, too, is Goona, November

16,

an

old-world doctrine.

1 TOWNSEND 1893, 5.

SHAW, m.b., Surgeon-Captain.

Etiology of Tropical Liver Abscess.

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