Vol 33, No 11 (1937)

The day of December 12, 1937, when the citizens of the USSR for the first time elected deputies to the Supreme Soviet on the basis of the Stalin Constitution, turned into a holiday on which the organization, unanimity, trust and loyalty of the peoples of our homeland to the party and government manifested themselves with unprecedented strength.

Now, most clinicians consider rheumatism as the result of an allergic reaction of a host to an infection; it is assumed that the macroorganism has an increased sensitivity not only to specific allergens, but also to nonspecific, so-called paralergens. The bacterial factor here is most often streptococcus.

Pappataci fever is one of the many short-term fevers in warm countries. In different countries, there are different names for this disease: mosquito fever, summer fever, summer flu, three-day fever, climatic fever, etc. Pappatachi as a specific disease is mentioned for the first time in the literature in 1779. On the Mediterranean coast, Pym described a "three-day fever" in 1804.

The reason for this communication was the following incident. 29/1937, patient L. (case history No. 7228), 28 years old, was admitted to the clinic, diagnosed with echinococcus spleen. Complains of a swelling in the left abdomen and dull pains in the left hypochondrium.

As you know, a herniotomy wound is especially susceptible to infection. The percentage of suppuration after hernia repair is higher than with other pure surgical interventions; different authors give different figures.

The presence of concomitant bacterial flora in the deep parts of the lung tissue, in pneumonic foci, and sometimes in the blood in chronic pulmonary tuberculosis can be considered proven, but this is not yet proof of the participation of this microflora in the pathogenesis of the process. The issue remains controversial, despite its many-sided study.

The classical method of cultivating a gonococcus on nutrient media with the addition of ascitic fluid presents a number of inconveniences in obtaining cultures in large quantities in the production of vaccines. From the literature on this issue we know a number of proposed nutrient media in which the ascitic fluid is replaced by other, protein-containing substances.

The epidermis, as you know, throughout the life of the organism undergoes constant transformation: from the multiplication of basal cells, through the malpighian layer to the granular layer and, finally, to the stratum corneum, consisting of lamellar cells devoid of nucleus and protoplasm, physiologically always undergoing desquamation ... Moderate thickening of the stratum corneum of the palms and soles, as a result of the actual impact on these areas of various physical and chemical factors, is not always a pathological process.

Nasal stones or rhinoliths, being a product of lime salt deposits, are rare. In 1885 Hiari collected 53 cases, Zeligman 108 cases (1892), according to Silin (1890) - 58 cases, Lunin described 1 case, Malyutin - 2 cases, Ornatsky — 1, Zaler — 1, Preobrazhensky — 3, Sokolov — 1, Puchkovsky — 1, Chalusov — 1, Ivanov — 1, Belitsky — 3, Zimin — 7, Denisov — 3, Zak — 5, Korsakov — 2 .

The authors describe three cases of leukemia where cutaneous manifestations may have obscured the correct diagnosis. One of them had erythroderma, which looked at first as psoriatic parakeratosis, and then as premotic erythema.

The author obtained good results from the daily injection of 0.1 C-vitamin acid in one case of nephrohemolytic hemoglobinuria in tertian malaria.

During a sporadic typhoid epidemic in 1936, caused by poor quality milk, the authors administered anti-typhoid serum to 73 out of 500 typhoid patients, choosing the most severe cases.

The authors isolated a microbe from the cerebrospinal fluid of a patient with meningitis, which turned out to belong to the group of paratyphoid bacilli.

Based on the study of his material (278 cases), the author believes that pain in the coccyx is almost always caused by trauma, especially a fall in a sitting position. Coccyx pain is more common in women.

Acute pancreatic necrosis can occur several months or even years after biliary tract surgery. This complication can be assumed if a patient who has undergone surgery on the biliary tract suddenly falls ill with acute pain in the upper abdomen.

The author used ultraviolet rays to treat peritonitis. Out of 71 irradiated patients with diffuse purulent peritonitis, 14 died. The author emphasizes the beneficial effect of ultraviolet rays on the general well-being of irradiated patients, on blood pressure, etc.

Sacroiliac tuberculosis is rare. The first signs of this disease are slowly increasing sciatica pains, lasting from several months to two years.

Meningitis and encephalitic changes in severe convulsive whooping cough have long been known. 

The author prepared his vaccine from cultures of pneumococcus, hemolytic streptococcus and Pfeifer's bacilli, killed by heating at 60 °. The standard of the vaccine is 600 million microbial bodies in 1 cm3. Dosage: 0.1-0.2, depending on the age of the patient.

There are indications in the literature that bladder tumors are more common in chemical workers than in other populations. Of the chemicals, aromatic amines (anilines, naphthalamines, benzidines) are important.

The description concerns a 49-year-old man who presented to a clinic (San Diego, California) in 1931 for a tumor in the left side of his scrotum that he noticed 6 weeks ago. 7 years ago he had gonorrhea urethritis and prostatitis.

By the terms indicated in the title of the article, the authors mean the presence of a sac in the lower wall of the urethra in women, located between the walls of the urethra and the vagina.

According to Jacquet's statistics dating back to 1912, 70% of patients with polyps in the nasopharynx turned out to be sick with syphilis.

Больной в латентной стадии сифилиса поступил в Пражскую немецкую кожную клинику с явлениями гоноройного артрита. Помимо лечения гоноройной инфекции больному начат курс специфического антисифилитического лечения.

The author claims that 75% of syphilitic children die during the first year of life, more often in the first week. They are very prone to all kinds of infections and intestinal disorders. The remaining 25% have latent syphilis, which usually appears before the 19th year of life.

Dr. Ya.M. Shcherbavsky. Demonstrations. A case of chronic fibrous encapsulated peritonitis. The speaker reported about the observation at the clinic. hir. GIDUV (head prof. GM Novikov) in a case of “fibrous encapsulated peritonitis.” B-naya S., 81 g, was urgently taken to the clinic.

Professor V. K. Trutnev was elected to the Council of Nationalities from the Kazan rural constituency. K. Trutnev was born in 1891 in the village. Mokrom, Kaluga lips. He graduated from the medical faculty in 1916 in Saratov, where he then worked in otorhinolaryngology with prof. Tsitovich. Since 1925 he has been the head of the Department of Otorhinolaryngology in Kazan and teaches at the Medical Institute and the Institute for Advanced Training of Physicians.