Or take hydatid disease, which occurs in all parts of the world, and
in some countries (Australia, Iceland) is terribly common. The nature
of this disease--that it is an animal parasite transmissible between
men and dogs--was proved by feeding-experiments on animals. In
Iceland, where men and dogs live crowded together in huts, there is an
appalling number of deaths from hydatid disease; Leuckart, in 1863, of
it:--
"At present, almost the sixth part of all the inhabitants
annually dying in Iceland fall victims to the echinococcus
epidemic."
Before Küchenmeister's experiments in 1852, there was no general
knowledge of the exact pathology of entozoic disease. The advance was
not made by the experimental method alone; other things helped: but
among them was neither clinical experience, nor what Sir Charles Bell
called "the observation of the just facts of anatomy and of natural
motions."
* * * * *
Beside the entozoa, there are also vegetable parasites. Of these, the
most important is the _streptothrix actinomyces_, the cause of
actinomycosis in man and cattle. Israel, in 1877, gave the first
accurate account of it in man; and Böllinger, the same year, studied
it in cattle. Ponfick, in 1882, recognised the identity of the disease
in man and animals. In 1885, Israel published the collected records of
37 cases in man, tabulated according to the site of the primary
infection. Boström, about this time, made cultures of the fungus: but
all the earlier attempts at inoculation failed; and it was not till
1891 that Wolff and Israel published their successful inoculations,
and thus completed the evidence that actinomycosis is a parasitic
infection, a growth of vegetable threads and spores, transmissible
between men and animals, and able to keep its vitality outside its
host; so that men who are employed with cattle, or have the habit of
chewing straws or ears of corn, incur some slight risk of infection.
Before 1877, the disease was hardly suspected in man, and was not
understood in cattle.
XII
MYXOEDEMA
On 4th October 1873, Sir William Gull read a short paper before the
Clinical Society of London, "On a Cretinoid State supervening in Adult
Life in Women." This famous first account of myxoedema was based on
five cases: it is less than five pages long, it does not suggest a
name for the disease, and it says nothing about the thyroid gland.
Four years later (23rd October 1877), Dr. Ord read a paper before the
Medico-Chirurgical Society of London, "On Myxoedema; a term proposed
to be applied to an essential condition in the 'Cretinoid' Affection
occasionally observed in Middle-aged Women." His work had begun so far
back as 1861; and in this 1877 paper he gave not only clinical
observations, but also pathological and chemical facts; and he noted,
as one among many changes, wasting of the thyroid gland. He also
pointed out the close resemblance between cases of myxoedema and cases
of sporadic cretinism.
Public-domain text, read in full here on John Shaqi.
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