A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
[Illustration: FIG. 11. _Bacillus tuberculosis_, within and outside of
pus-corpuscles (Sternberg).]
Spirillum (Spirochæta of Ehrenberg) has its best ascertained example
in the minute forms first observed by Obermeier, and afterward by many
other observers, in the blood of patients suffering with relapsing
fever. They have been found present in the blood only during the
febrile paroxysm, disappearing in the intermission and through
convalescence.
Hastening to close our consideration of this subject, we may note,
without much argument, a few of the points of difficulty needing yet
to be more fully illuminated by {143} careful observation before any
form of the germ theory can take its place as an established doctrine
in etiology:
1. The absence of the characters belonging to definite organisms[31]
in the easily-studied virus of small-pox and vaccinia stands, a
priori, against the probability of such organisms being essential to
the causation of other enthetic diseases.
[Footnote 31: The particulate character of variolous and vaccine virus
has been already alluded to, as asserted to have been shown by
Chauveau and others. Yet it is not absolutely demonstrated that
filtration may not produce an important chemical alteration in some
kinds of highly unstable organic material subjected to it. Cohn
figures a Micrococcus vacciniæ in his article on Bacteria
(_Microscopical Journal_, vol. xiii., N. S., pl. v., Fig. 2). Beale
denies (_Microscope in Medicine_, 4th ed.) the existence of any
organisms in vaccine virus. Lugginbuhl, Weigert, Klebs, Pohl-Pincus,
and others have asserted their existence, but, especially in the
absence of any successful culture experiments, it does not seem to be
proved.]
2. Analogy in nature, showing the commonly beneficial action of
nutritive processes in re-appropriating the products of organic decay
on a large or on a small scale, makes the scavenger theory of the
general function of minute cryptogamic organisms more probable, per
se, than that which holds many of them to be destructive parasites or
poison-producers in the bodies which they may inhabit. Few well known
parasites are capable of causing death in higher animals or in man.
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