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JAMA. 1891;XVII(3):117. doi:10.1001/jama.1891.02410810033002.
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Since the observations of Noeggerath, increased attention has been devoted to infections of the genital tract of women. Whilst it must be confessed that the views of Noeggerath present many striking facts in their support, yet it cannot be denied that too much stress is laid upon one inficiens, namely: the gonococcus, and too little upon other pathogenic forms, that possibly play a most important rôle in these inflammations. Our attention is again called to this subject by Alexander Brandt, of Slarjansky's Clinic, St. Petersburg, (Centralblatt für Gynäkologie, June 20, 1891), in an important preliminary communication.

It consists of a careful bacteriological examination of the uterine cavity in twenty-five cases of endometritis, presenting the following varieties: E. hæmorrhagica, eleven; E. catarrhalés chronica, nine; E. gonorrhoica, four, and E. septica, one. Apparently every effort was made to obtain the contents of the uterine cavity free from admixture with the secretions of


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