as she contemplated marriage, but feared infection had occurred some six years previously, although she had no positive grounds for believing such to be the case, as no suspicious symptoms had arisen, apart from a nervous breakdown six months ago. Examination revealed no deflnite signs of syphilis, either old, recent, or congenital, no scars, no general adenitis or involvement of the central nervous system. The cervix was normal and the cervical canal was round and not torn, in spite of a six months^ premature birth which had occurred six years previously. This history, with the positive reaction of the blood-serum to the Wassermann test, enabled one to make a diagnosis of latent syphilis. A combined
Possible explanations of the increased incidence and early occurrence of neuro-syphilides at tlie present time may be summarised as follows : (1) That it is due to direct arsenical intoxication analogous to the optic atropliy which follows the administration of Fowler's solution. (2) That it is due to transient or permanent anatomical damage directly caused by the arsenic. (3) Tliat it is an amino-group intoxication. (4) That it is a purely syphilitic process (McTntosh aud Fildes) (14). (5) 'I'hat it is due to sudden sterilisation of the general systemic circulation, with resulting paucity of antibody supply to the cerebrospinal axis. The parasites in the general circulation are killed oiJ,
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.