Clinical symptoms, bacterial content in breast milk and treatment were recorded in 43 women in Oslo with puerperal mastitis. Patients with a favorable (n = 35) and unfavorable outcome (n = 8) (defined as abscess formation and/or symptom relief after more than 7 days) were compared. The group with unfavorable outcome was characterized by increased delay between symptoms and time for consultation...

The objective of this field trial was to evaluate the impact of a control program based on systematic clinical examination on Day 10 ± 3 post partum (pp) and treatment in the case of puerperal metritis on reproductive performance in dairy cows. Cows having serious dystocia as well as cows treated for retained placenta were not involved in the trial. The evaluation was performed by comparing rep...

Group A Streptococcus (GAS) is an historically important agent of puerperal infections and sepsis. The inception of hand-washing and improved hospital hygiene drastically reduced the incidence of puerperal sepsis, but recently the incidence and severity of postpartum GAS infections has been rising for uncertain reasons. Several epidemiological, host, and microbial factors contribute to the risk...

Most physicians would consider puerperal sepsis, known colloquially as childbed fever, to be a relic of the past which has long since been overcome with the introduction of Semmelweisʼ hygiene measures in general practice. Puerperal fever does not feature in the ordinary experience of most people. But puerperal sepsis caused by Group A Streptococci (Streptococcus pyogenes) may take a highly dra...

AmR EXAMINING the reactions of physicians to sporadic, socially disruptive epidemics of cholera, yellow fever, and the plague, historians have concluded that "anticontagionism" characterized medical thought in the first half of the nineteenth century.' That conclusion is not borne out by this study. It is true that well-known figures confronted with the task of explaining the capricious visitat...

Between June and November 2010, a concerning rise in the number of cases of puerperal sepsis, a postpartum pelvic bacterial infection contracted by women after childbirth, was observed in the New South Wales, Australia, hospital system. Group A streptococcus (GAS; Streptococcus pyogenes) isolates PS001 to PS011 were recovered from nine patients. Pulsed-field gel electrophoresis and emm sequence...

professor working in an institution hoary with the best traditions of scientific medicine. Recent works on such important subjects like ' Erythroblastosis Fcetalis'?Penicillin Therapy, etc., have been incorporated for the benefit of students going up for examinations. At the same time the usual paraphernalia of a textbook of obstetrics, viz, the description of the mechanism of labeur, discussio...

Infection with Brucella spp. continues to pose a human health risk globally despite strides in eradicating the disease from domestic animals. Brucellosis has been an emerging disease since the discovery of Brucella melitensis by Sir David Bruce in 1887. Although many countries have eradicated B. abortus from cattle, in some areas B. melitensis and B. suis have emerged as causes of this infectio...

I can recall a suggestion which I made at a meeting of the Surat Medical Union in 1920, in a discussion on the treatment of plague. One can only understand the pathology of plague when one comes to examine cases at post-mortem examination. The majority of cases die before the sixth day of illness and show profound pathological changes in the heart and other organs. The condition present is a se...

Sepsis is one of the main causes of maternal death, being related to infections from obstetric origin (infected abortion, chorioamnionitis, puerperal infection) or non-obstetric (resulting from infections which occur in other areas). This review aims at describing the mechanisms involved in the physiopathology of this entity and at updating the clinical approach to sepsis, recommended in intern...