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A. E. ROCKEY, A.M., M.D.
JAMA. 1892;XVIII(19):576-577. doi:10.1001/jama.1892.02411230006001b.
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The complete confirmation, in recent years, of Naegeroth's theory of the persistence of gonorrhœa in its chronic form, and its etiological relation to pelvic disease in women, has invested the subject of its cure with a new importance. Gleet is no longer a matter of inconvenience alone. The gonococcus in that bland discharge, or in the deeper and less noticed clap shred that is periodically washed away by the urine, is sufficiently virulent to establish in women any one of a train of evils, from the milder inflammations of the lower genito-urinary tract, to pyosalpinx with its periodical pelvic or eventually fatal peritonitis.

My own work in abdominal surgery contains the record of a number of these cases, fortunately cured by operation; but the great importance of the subject has been more forcibly illustrated by two fatal cases of puerperal peritonitis, caused by rupture of gonorrhœal pyosalpinx, that have come


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