Excerpt from Lectures on Surgical Pathology and Therapeutics, Vol. 2: A Handbook for Students and Practitioners
Gentlemen, - Somewhat earlier on in my lectures, when speaking of traumatic inflammation, I stated it did not usually extend beyond the limits of the injury, and that if this sometimes appeared to be the case, it was due to the fact that we had overlooked the extent of the injury. I strongly maintain the truth of this remark. We have, however, added that very severe and progressive inflammation with sloughing may take place as the result of accidents (such as contused wounds) either immediately after the injury, or that secondary inflammations may develop even in wounds which are granulating, from causes which we also discussed. I must now point out to you that there is still another class of peculiar inflammatory and gangrenous processes, which attack wounds and lead to severe and, for the most part, pyrexial constitutional diseases. These latter may even come on without any appreciable change in the condition of the wound.
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