More definite information is needed respecting the pathological
conditions caused by these bacteria in animals and the relation of such
conditions to subsequent human infection. A rather remarkable problem
is presented by the relation of _B. suipestifer_ to hog cholera. This
bacillus, although not now considered the causal agent of hog cholera,
is very commonly associated with the disease as an accessory or
secondary invader, and is frequently found in the internal organs of
swine after death. It might be supposed that in regions where hog
cholera is prevalent human infections would be more common than in
other districts, but this seems not to be the case. No connection
has ever been demonstrated between outbreaks of hog cholera--in which
_B. suipestifer_ is known to be abundantly distributed--and so-called
_B. suipestifer_ infections in man.
Suppurative processes in cattle, and especially in calves, have
given rise to poisoning from the use of the meat or milk of the
infected animals. It has been often demonstrated that bacteria of
the _enteritidis-suipestifer_ group are associated with inflammation
of the udder in cows and with a variety of septicemic conditions in
cattle and other domestic animals as well as with manifestations of
intestinal disturbances ("calf diarrhea," etc.).[80] The frequency
with which poisoning has occurred through the use of the meat of
"emergency-slaughtered" animals has been already mentioned. K. F.
Meyer[81] has reported an instance of accidental infection in a
laboratory worker caused by handling a bottle of sterilized milk
that had been artificially contaminated with a pure culture of
_B. enteritidis_ for experimental purposes. The strain responsible
for the infection had been isolated from the heart blood of a calf
that had succumbed to infectious diarrhea.
2. Human contamination: In a certain number of paratyphoid food
infections there is some evidence that the food was originally derived
from a healthy animal and became infected from human sources during the
process of preparation. In addition to the instances already mentioned
(Reinhold _et al._, p. 67) the Wareham (England, 1910) epidemic[82] was
considered by the investigators to be due to infection of meat pies by a
cook who was later proved to be a carrier of paratyphoid bacilli. The
evidence in this case, however, is not altogether conclusive.
Söderbaum[83] mentions a milk-borne paratyphoid epidemic occurring in
Kristiania which was ascribed to infection of the milk by a woman
milker. Sacquépée and Bellot[84] report an interesting paratyphoid
outbreak involving nineteen out of two hundred and fifty men in a
military corps. The patients fell ill on different dates between June 14
and June 21.
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