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he sees an undoubted connection of some sort between Pfeiffer's bacillus and epidemic influenza which he thinks will some time be proved to be that of cause and effect. Miinchener medizinische Wochenschrift. Aug>ist 10. 1915. Influenza as Based on Autopsies. — Hubschmann re- gards this as a timely subject because influenza is one of the great war scourges, responsibility for the pre- vention of which rests upon the shoulders of the physician, who is no less important in warfare can you buy viagra in boots than the surgeon and maybe much more important when great plagues flourish. Now that Pfeiffer's bacillus is recog- nized as the cause or a cause of influenza, we have something tangible to stand on in pathological reports. On the other hand this germ may behave as a sapro- phyte, while the number of microorganisms which are able generic viagra without visa to cause grippe like syndromes is constantly in- creasing, and includes perhaps a series of unfilterable viruses. The picture of influenza generic viagra without visa is more labile than that of any other affection. The author enumerates hemoglobinophilia as highly characteristic of epi- demic influenza when present; but that only in cold weather is this phenomenon in evidence. The author examined a series of miscellaneous cases between January and March, 110 in all, using smears of bronchial mucus. In 40 cases the latter proved to be sterile, in 70 not sterile. In 31 cases Pfeift"er's bacillus was present in pure culture while in 39 it was associated with other germ life. In other words over a third of these 110 cadavers had had influenza or were carriers at the time of death. . But cultures from the cadaver often fail, and the author seems inclined to believe that Pfeiffer's germ is not often a saprophyte. In regard to a generic viagra without visa symbiosis the latter bacillus has been found in the bronchial mucosa of a true typhus, which, as is known, often simulates in- fluenza at the outset. Returning to hemoglobinophilia and genuine influenza the necessary connection has can you buy viagra in boots not as yet been worked out. If the present belief is upheld in the future we should possess a first class criterion for genuine epidemic influenza and be able to differ- €ntiate the latter from the pseudo-types, such as ■"pneumococcus influenza." There is a vexed question which bacteriology should finally generic viagra without visa answer, to wit: may severe influenza (sporadic) exist when there is no influenza epidemic? We also have special clinical types, such as an "influenza sepsis" and an influenza bron- chiolitis and pneumonia, which require correlation. It is asserted that in only 50 per cent of true influenza are there Pfeiffer's bacilli in the bronchial mucus. Such fluids show some error in the conception of the disease, and seem to point to the possibility that Pfeiffer's bacillus is not pathogenic for true influenza. But upholders of this view like Klieneberger believe that Pfeiffer's bacillus is pathogenic for different local affections of the bronchi and lungs. The author proves to be slightly generic viagra without visa skeptical in the whole, as if our researches into the nature of influenza had best begin anew. But Deutsche medizinische Wochenschrift. August 12, 1915. Salvarsan Fatalities. — Fischer concludes his long se- rial article on this subject with the following summary : It is positively known that salvarsan can you buy viagra in boots sometimes causes local necroses and hemorrhagic encephalitis. Other accidents, including fatalities, which follow upon sal- varsan injections are positively not due to the medica- ment. There belong all cases in which no lesions, not even microscopic, and no evidence of chemical action can be discovered. Some can you buy viagra in boots of the fatal cases are more readily traceable to mercury generic viagra without visa when the latter has been given with salvarsan. In one suspected case of this sort, proof was forthcoming. It is now known that salvarsan does not produce acute yellow atrophy of the liver which may be due directly to the virus of syphilis. The toxic action of salvarsan does not correspond to arsenical poisoning. Cases whoch appear to justify this conclusion have been imperfectly studied. Treatment of Syphilis with Salvarsan Alone. can you buy viagra in boots — Kreft- ing claims that mercury adds nothing to the eflScacy of salvarsan in the treatment of syphilis. Primary syphilis can almost certainly be cured with from three to five injections of salvarsan with fourteen days in- terval, the doses being large. Definite rules for the salvarsan treatment of secondary syphilis are not readily laid down. The remedy should be used for a long time and should be persisted in for a time even should the war become negative. There is no universal contraindication for salvarsan treatment. Epidural Injections. — Enderle recommends these in old, recurrent cases of sciatica which have proved rebellious to all other plans of treatment, and also as an adjuvant to other methods in all cases of neuralgia of the lower extremities, the gastric crises of tabes, the enuresis of childhood and as a sedative in all functional ailments of the urogenital organs. The lechnical exe- cution is easy and with the usual precautions quite safe. With patient in the knee-elbow position 20 cm. sterile physiological saline infusion are injected into the sacral hiatus, but not too deeply. The author has as yet had no untoward result. Treatment of Typhoid Fever with Besredka's Vaccine. — Szecsy uses this vaccine when it is not more than 10 or 12 days old. He gives it in a certain dosage daily for four consecutive days, injecting it under the skin of can you buy viagra in boots the abdomen. The doses increase according to a certain prearranged scale. Abortive results are not claimed, but the duration of the disease is shortened by 6 to 8 days including the four vaccination days. Relapses are diminished in frequency and when they develop indicate one or two extra doses of the fourth day or maximum size; upon which they terminate by crisis or two day lysis. The mortality of the series treated was but 2 per cent of 58 cases. Analeptic Action of Calcium and Bromine Ions. — H.