PARTIAL GANGRENE OF THE LEFT INDEX-FINGER

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Abstract
L. E., aged 7, was brought to consultation by her relatives August 6, 1910, on account an ill-smelling but fairly painless affection of her left hand, which had existed for a week but had become worse the last two days. On examination I found the nail of the left index-finger hanging to its bed by only a few shreds, covering a necrotic area which was surrounded by discolored, pultaceous, and extremely fetid tissue-remnants. The upper half of the distal phalanx of the left index-finger was destroyed, but the sphacelus was limited at the distal phalangeal joint by slightly irritated, reddish, and moderately swollen tissues. There was similar, but only slight, perionyxis of the left thumb; no systemic disturbance, slight left axillary adenitis; several carious teeth; gums not very healthy; throat negative. The patient was well developed, and evidently in good health. Microscopically, smears from the affected finger-tips showed a pure

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