Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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Lastly, attention must be directed to the remarkable variations observed in different patients. Sometimes the virulent character of the disease can only be accounted for by an idiosyncrasy of the patient. Constitutional symptoms, particularly pyrexia and anaemia, are most often met with in young women. Patients over forty years of age have greater difficulty in overcoming the infection than younger adults. Malarial and other infections, and the conditions attending life in tropical countries, from the debility which they cause, tend to aggravate and prolong the disease, which then assumes the characters of what has been called _malignant syphilis_. All chronic ailments have a similar influence, and alcoholic intemperance is universally regarded as a serious aggravating factor.
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