Page:Transactions of the Royal Society of Tropical Medicine and Hygiene, volume 3 (2).djvu/35

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THE ISLAND OF NEVIS.
71

the tissues whether the keloidal change was secondary to the inflammatory changes, and had occurred some time later, or whether it was of the nature of sclerodermia, and had become secondarily infected with pus-organisms from scratching. There was no suggestion in the tissue of syphilis, tuberculosis, yaws, etc., and any granulomatous change noted could be easily explained by the presence and prolonged action of a slightly virulent staphylococcus.

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