Leprosy : $b in its clinical & pathological aspects — John Shaqi
Leprosy : $b in its clinical & pathological aspectsHansen, G. Armauer (Gerhard Armauer)
Science
Leprosy : $b in its clinical & pathological aspects
Hansen, G. Armauer (Gerhard Armauer)
Leprosy
We have repeatedly demonstrated the position of the bacilli _in_ the
cells, and explained them in diagrams, but in many preparations it
is impossible to distinguish where the bacilli lie. The best method
of definitely noting their position, which we know, appears to be
the fixing of small nodes or small pieces of organs in Fleming’s or
Müller’s fluid, with subsequent dehydration and hardening in alcohol;
sometimes one gets excellent preparations by simply hardening in
absolute alcohol. If the preparations are stained with fuchsin,
and counter-stained with methyl blue, or still better, stained with
gentian violet, decolourised by Gram’s method, and counter-stained
with Bismarck brown or with Bismarck brown and eosin, one will never
fail to see the bacilli lying definitely in the cells (_Plate VI, Fig.
8_). Even in such preparations there are many places where one cannot
definitely distinguish the position of the bacilli; but as one always
finds bacilli in the cells where the preparations are sufficiently
clear, we may safely conclude that the bacilli lie everywhere _in_ the
cells. In the connective tissue spaces one often sees bacilli in and
round the nuclei of the connective tissue cells (_Plate X, Fig. 8_),
and although the body of the cell is not visible, we may conclude that
the bacilli lie in the cell body, and not free in the lymph spaces. We
have found in many sections of the blood vessels in a testicle (_Plate
X, Figs. 5_ and _6_), and in a liver (_Plate VIII, Fig. 6_, and _Plate
IX, Fig. 1_), white blood corpuscles filled with bacilli, and in both
cases only slight affection of the organ, and we also observed many
bacilli in the endothelium of the vessels, as Touton and Unna have
observed in skin nodules where we, we may remark in passing, have never
seen them. From these observations we draw the conclusion that these
two organs have been infected through the blood. As we do not know the
manner and method of the primary infection of the organ, we must devote
our attention to the search for discoveries like those described above,
and to the localisation of the bacilli in general, in order to form an
idea of the method of action of the bacilli.
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