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
Unfortunately, all attempts to inoculate animals have failed. The now
old experiments of Neisser and Damsch, as well as our own, we may pass
over. We dealt with them in our Copenhagen communication. Since then
Melcher and Ortmann believe that they have communicated the disease to
rabbits. Dr. Ortmann has kindly sent us preparations from the infected
rabbits, and on close examination of them we regret to say that we
lost our faith in the leprous nature of this affection of rabbits. We
found both caseous degeneration and myelo-plaques in the preparation,
which, as we have noted, we have never found in leprosy. At the same
time the affection does not look exactly like tubercle, and it is
possible that in rabbits leprosy appears otherwise than in man. But we
may note that Veterinary Surgeon Nielsen has, here in Bergen, observed
a disease in mice, which shows a close resemblance to Ortmann’s rabbit
leprosy. Inoculated on a rabbit, the disease appeared with new growths
in the cœcum, just like Ortmann’s rabbit leprosy. These new growths
had certainly more resemblance to tuberculosis; but there were in them,
at many places around the vessels, cells, crammed full of bacilli.
Nielsen’s investigations are not yet concluded, but it is possible that
the disease is one of animals as yet unknown, which Melcher and Ortmann
have by chance conveyed to their rabbits. All the inoculations of
leprosy on rabbits which Dr. P. F. Holst made in the laboratory of the
Lungegaards Hospital were unsuccessful; not one of the infected animals
became leprous.
Although, as we have stated above, the lepra bacillus has never been
found outside the human body, this might possibly be dependent on
insufficient search, and it might be possible that the old view at
present maintained by Hutchinson is the right one, viz., that leprosy
is caused by the eating of putrifying fish, or that the contention of
Holmsen that leprosy is a miasmatic disease, is correct.
Against Hutchinson’s hypothesis there is in the first place the fact
that we have never succeeded in cultivating the bacillus, which, if the
bacillus lived as a saprophyte on decaying fish, would be a very simple
matter. And there are, secondly, places where the inhabitants certainly
and frequently enjoy decaying fish without the disease appearing. And
thirdly, there are many places authoritatively indicated where leprosy
is present, and where no fish is ever eaten. For his hypothesis of
the miasmatic origin, Holmsen can only bring forward the fact that
the disease is often limited to certain districts. This is certainly
correct, but this endemic appearance of leprosy may be as readily
explained by infection, while the localities affected do not give the
slightest support to the assumption of a miasma. Such areas are found
here in Norway, both on the bare cliffs, on the coast, in the valleys,
and on the mountains.
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