Greater success is claimed by Hooker, who reported that in five
cases of pyogenic infection the results were distinctly favourable.
He used immunized blood, but has formed the impression that the
transfusion even of normal blood is of value in septicæmia by
correcting the anæmia and helping to restore the normal resistance.
He recommends that if the patient has a good blood volume and a high
bacterial content in the blood, he should be bled by venesection
before transfusion. A striking case of staphylococcal septicæmia has
been recorded by Little, who believed that the patient’s recovery
was directly due to the treatment. Four transfusions were given,
the blood for three of these being taken from donors who had each
received, four days previously, an injection of vaccine made from
the patient’s own infection. Ottenberg and Libmann have treated ten
cases of pyogenic infections with transfusions. All the patients were
extremely ill and six died. It is stated that the four who recovered
“probably owe their lives to the transfusion,” but obviously it
is difficult to control the results. The same observers have
used transfusion in the treatment of infective endocarditis, but
unsuccessfully.
Some experimental work on this subject has been carried out by Kahn.
A bacterial infection was introduced into the peritoneal cavities
of several dogs. Continuous transfusion between an infected dog
and a healthy dog was then performed, the blood passing to and fro
between the animals, sometimes for over an hour. It was found that
all the transfused animals fared better than those that were not. The
experiment suggests that resistance to infection is heightened if
two bodies can combat the infection present in one; but continuous
transfusion is scarcely practicable in man.
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