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IXVASION FOLLO WING MECHANICAL INJURIES. 277

the jaw, causing necrosis; the necrotic alveolar process was
removed after two weeks. In the progress of the disease the
characteristic symptoms of pysemia appeared,—chills, great
debility, and icteritous color of the skin. This was accompanied
by pleuro-pneumonia of the right lung. The pjatient died iu
consec[uence of an eruption of pus into the lungs.
In another case, a young man died of pyaemia on the very next
day after having a tooth extracted. In this case the patient had
suifered from chronic paruli s.
Delestre describes several cases " in which meningitis resulted
fatally in consequence of spreading inflammations and abscesses
after extraction." " A robust man, twenty-seven years old, had
a left superior molar drawn ; an inflammation followed which
spread to the orbit and the brain; the patient died of menin-

In a second case, a factory girl, twenty-six years old, died five
days after the extraction of the right inferior iirst molar. Swell-
ing, suppuration, and linall}' meningitis ensued, causing death.
Von Mosetig-Moorhof^'^- noticed four cases of inflammation of
the jaw-bone with phlebitis suppurativa, leading to a fatal pyae-
mia, which had been caused by diseased roots ; moreover, many
cases of acute sepsis occurring after unsuccessful operations or
such performed without proper antiseptic precautions. He gives
the following account of one case of this kind as an example of
many others:
" M. Battista, a woman in the seventh month of pregnancy,
went on the 1st of February of the present year to the charitable
institute just mentioned in order to have the second right lower
molar extracted, which was badly decayed and whose crown was
partially wanting. The crown was completely broken off, and
the patient sent home without extracting the roots. The pain
increased, fever appeared, and on the next morning the face was
so much swollen that it was almost impossible to open the mouth;
the pain on swallowing was so great that she, in spite of her
intense thirst, was scarcely able to swallow a little water. The
swelling gradually increased, and finally became so extensive
that the totally disfigured paftient even suflered from want of
breath. On the 3d of Februarv she was transferred to the