Prophylaxis and Treatment

Prophylaxis.—The wearing of shoes in the fields or forests would seem to be the best means of protection against small wounds from thorns, splinters and the like.

Then, too, any such wound which might occur should be treated with tincture of iodine.

Fig. 127.—Important tropical fungi.

Treatment.—It is usual to try the effects of curetting the lesions and if taken early enough this may have effect. As a rule the process goes on but is limited to the member attacked so that amputation of the diseased part brings about a cure. Iodide of potash is of no value. X-ray treatment seems to be of value in relieving the pain and in lessening the discharge from the sinuses but is of questionable curative effect. It might be of greater value if tried early in the disease.

CHAPTER XXIX
GRANULOMA VENEREUM

History and Geographical Distribution

History.—It is generally stated that Daniels first noted the disease in British Guiana, in 1896, but Daniels regards the disease previously described by Macleod from India under the designation “serpiginous ulceration of the genitals,” as referring to granuloma venereum.