Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The sinuses may be so tortuous that a probe cannot be passed to the
primary focus of disease, and their course and disposition can only be
demonstrated by injecting the sinuses with an emulsion of bismuth and
taking X-ray photographs.


Tuberculous infection of the lymph glands of the limb is exceptional,
but may follow upon infection of the skin around the orifice of a sinus.


A slight rise of temperature in the evening may be induced in quiescent
joint lesions by injury or by movement of the joint under anaesthesia, or
by the fatigue of a railway journey. When sinuses have formed and become
infected with pyogenic bacteria, there may be a diurnal variation in the
temperature of the type known as hectic fever (Fig. 11).

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