Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


[Illustration: FIG. 22.--Gangrene of Terminal Phalanx of Index-Finger,
following cellulitis of hand resulting from a scratch on the palm of the
hand.]


Rigors may occur, but the temperature is not necessarily raised--indeed,
it is sometimes subnormal. The pulse is small, feeble, rapid, and
irregular. Unless amputation is promptly performed, death usually
follows within thirty-six or forty-eight hours. Even early operation
does not always avert the fatal issue, because the quantity of toxin
absorbed and its extreme virulence are often more than even a robust
subject can outlive.

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