The bacillus discovered by Gärtner (_loc. cit._) and known as _B.
enteritidis_ or Gärtner's bacillus is commonly taken as the type of one
of the agglutinative varieties. Bacilli with all the characters of
Gärtner's bacillus have been found in meat poisoning epidemics in
various places in Belgium and Germany. Mayer[69] has compiled a list of
forty-eight food poisoning outbreaks occurring between 1888 and 1911 and
attributed to _B. enteritidis_ Gärtner. These outbreaks comprised
approximately two thousand cases and twenty deaths. In twenty-three of
the forty-eight outbreaks the meat was derived from animals known to be
ill at the time, or shortly before, they were slaughtered. Sausage and
chopped meat of undetermined origin were responsible for eleven of the
remaining twenty-five outbreaks. Two of the _B. enteritidis_ outbreaks
were attributed to _Vanille Pudding_; one, to potato salad.
In other food poisoning outbreaks a bacillus is found which is
culturally similar to the Gärtner bacillus, but refuses to agglutinate
with the Gärtner bacillus serum. Its cultural and agglutination
reactions are almost, if not quite, identical with those of the bacilli
found in human cases of paratyphoid fever which have no known connection
with food poisoning. Mayer[70] gives a list of seventy-seven outbreaks
of food poisoning (1893-1911) in which organisms variously designated as
"_B. paratyphosus_ B" or as "_B. suipestifer_" were held to be
responsible. The total number of cases (two thousand) and deaths
(twenty) is about the same as ascribed to _B. enteritidis_. According to
Mayer's tabulation meat from animals definitely known to be ailing is
less commonly implicated in this type (ten in seventy-seven) than in _B.
enteritidis_ outbreaks (twenty-three in forty-eight). Sausage and
chopped meat of unknown origin, however, were connected with eighteen
outbreaks.
The bacillus named _B. suipestifer_ was formerly believed to be the
cause of hog cholera, but it is now thought to be merely a secondary
invader in this disease; it is identical with the bacillus called _B.
paratyphosus_ B in its cultural and to a large extent in its
agglutinative behavior, but is regarded by some investigators as
separable from the latter on the basis of particularly delicate
discriminatory tests. Bainbridge, Savage, and other English
investigators consider indeed that the true food poisoning cases should
be ascribed to _B. suipestifer_ and would restrict the term _B.
paratyphosus_ to those bacteria causing "an illness clinically
indistinguishable from typhoid fever." German investigators, on the
other hand, regard _B. suipestifer_ and _B. paratyphosus_ B as
identical. My own investigations[71] indicate that there is a real
distinction between these two types.
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