The interesting case reported by Barber[112] shows that there are other
possibilities of food poisoning by formed bacterial poisons. Acute
attacks of gastro-enteritis were produced in several individuals by the
use of milk containing a poisonous substance elaborated by a white
staphylococcus. This staphylococcus occurred in almost pure culture in
the udder of the cow from which the milk was derived. The milk when used
fresh was harmless and the poison was generated in effective quantities
only when the milk stood some hours at room temperature before being
used. The symptoms were similar to those usually ascribed to "ptomain
poisoning."
SPOILED AND DECOMPOSED FOOD
There is a general belief that food is unwholesome whenever the evidence
of the senses shows it to be more or less decomposed. This opinion finds
expression in civilized countries in many legal enactments forbidding
traffic in decomposed meats, vegetables, and fruits. There is
unfortunately lack of evidence as to what kinds or degree of visible
decomposition are most dangerous. In fact, some foods of high nutrient
value, notably cheeses, are eaten only after somewhat extensive
decomposition processes (termed ripening) have taken place. The
characteristic flavors or aromas of the various hard and soft cheeses
are due to the substances formed by certain species of molds and
bacteria and are just as properly to be regarded as decomposition
products as the unpleasant stenches generated by decomposing eggs or
meat. Indeed, some of the decomposition products formed in the ripening
of Brie, Camembert, or Limburger are similar to, if not identical with,
those which are associated with spoiled foods. Sour milk, again, is
recommended and commonly used as a food or beverage for persons in
delicate health, and yet sour milk contains many millions of bacteria
and their decomposition products. Some of the bacteria commonly
concerned in the natural souring of milk are closely related to
pathogenic types. The partial decomposition of meats and game birds is
often considered to be advantageous rather than otherwise. Even eggs, a
food whose "freshness" is marred for most persons by the initial stages
of decomposition, are ripened in various ways by the Chinese and eaten
as a delicacy after the lapse of months or years. The preserved ducks'
eggs known as pidan are stored for months in a pasty mixture of tea,
lime, salt, and wood ashes. "They are very different from fresh eggs.
The somewhat darkened shell has numerous dark green dots on the inner
membrane. Both the white and yolk are coagulated; the white is brown,
more or less like coffee jelly...."[113] Increase of ammoniacal nitrogen
has taken place to an extraordinary degree in these eggs, indicating
much decomposition of the egg protein. The ammoniacal nitrogen in pidan
is considerably higher than in the eggs known by egg candlers as black
rots.
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