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10. Other diseases admitted to the puerperal ward, but found to have no
evidence of pelvic sepsis. 35 cases.
7 cases of acute mastitis.
6 Primipara (5 bilateral).
(1 left side only).
1 Multipara, severe bilateral (multiple abscesses).
Later developed bronchitis and pyelitis (B. coli).
Staph, aureus.
3 pyelitis (2 B. coli, 1 staph, albus).
2 B. coli bacilluria.
1 dysuria.
1 retained placenta, removed, P.P.H. no sepsis.
3 incomplete abortions.
2 complete abortions.
1 normal pregnancy, 3½ months.
1 normal pregnancy, 3 months, and acute gastro-enteritis.
1 constipation and tonsillitis.
1 tonsillitis.
1 suppurative arthritis knee (hæn. strep.).
1 scarlet fever.
2 erythema.
1 subluxation of symphysis pubis with osteomyelitis of pubic bone and abscess
formation (B. coli).
1 pulmonary tuberculosis acute progressive (sputum —).
4 no obvious disease.
11 influenza pneumonia and haem. strep, septicaemia.
Fatal 1 infective endocarditis, septicaemia (strep, viridans) with cerebral embolism
and hemiplegia.
B. coli urinary infections (excluding cases under heading "other diseases").
B. coli were found on urine culture in 28 cases. Of these 13 were bacillurias, 13
pyelitis, and 2 cystitis.
Urine cultures positive for B. coli were found in association with:—
Local uterine sepsis 13 cases (abortion 1, normal 7, instrumental
5).
Pelvic peritonitis 3 ,,
Pelviocellulitis 3 ,,
Pelvic thrombosis 1 „
General peritonitis 1 ,,
Septicaemia 3 „ (2 haem. strep, and 1 B. coli).
Femoral thrombosis 1 „
Acute mastitis 2 ,,
Osteomyelitis of pubic bone 1 „ (B. coli in pus).
In 8 cases B. coli were also present in the cervical swab, but in 23 other cases
B. coli were found in the cervix but not the urine.
Of the 31 cases in which B. coli were found in the cervix—
16 followed abortion
10 „ normal delivery
5 „ instrumental delivery
Bacteriology.—Cervical cultures.
Haemolytic streptococci present in 79 cases.
Normal 66
Instrumental 12
Abortion 1
B. coli present in 27 cases.
Normal 8
Instrumental 5
Abortions 14