That, however, some risk attends the placing of too implicit a
reliance on this method of diagnosis alone is evident from the fact
that a _negative_ reaction, or in other words, absence of all
agglutinising phenomena, is sometimes associated with blood throughout
what is beyond all question a well-defined case of typhoid fever,
whilst in the first week of this disease the test is frequently
negative in character. Rouget, who has made a very careful inquiry
into the value to be attached to the sero-diagnosis of typhoid fever,
states that he has found in a large number of examinations of blood
derived from undoubted typhoid patients the agglutination phenomena
fail altogether; it is, therefore, not surprising that the
sero-diagnosis of this disease is still the subject of much discussion
and investigation.
An interesting example of how particular serums may be employed for
the detection of particular poisons has been furnished by Dr.
Calmette. In some districts of India the natives have an ugly custom
of wreaking their vengeance on their enemies by poisoning their
cattle, and to effect this both expeditiously and secretly they employ
subtle poisons which they know can only be detected with great
difficulty. Serpent venom is a favourite substance, whilst abrine, a
highly toxic vegetable poison, is another. The method adopted for the
application of this abrine is highly original, and consists in taking
small bits of wood shaped like miniature clubs, so diminutive in size
that they can be concealed in the hand. In the head of the club small
holes are bored, and tiny pointed rodlets of a hard greyish substance
are fitted into them. Armed with these crude instruments, the natives
scratch the cattle in several places, and, although but little
external sign of injury is to be seen, the rod-points penetrate the
skin and are broken off, and the poison is left to work its lethal way
through the animals' system. Mr. Hankin forwarded some of these
broken-off rod-points to Dr. Calmette for the identification of their
composition, and he diagnosed the material employed as abrine in the
following original manner. He first introduced some of this rod
material into animals, and found that their symptoms were suggestive
of abrine poisoning. To confirm his suspicions, however, he took some
more of this rod material, and, before inoculating it into animals, he
mixed it with serum derived from animals which had been artificially
rendered immune to abrine poison. Instead of the animals into which
this mixture of serum and "rod material" had been introduced dying
like the previous ones, they remained alive. Had the "rod material"
consisted of some poison other than abrine, the abrine serum would
not, according to Dr. Calmette, have negatived its action, and it has
thus been indicated how protective serums may be successfully employed
for the detection of poisons.
Public-domain text, read in full here on John Shaqi.
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