Plague: Its Cause and the Manner of its Extension, Its Menace, Its Control and Suppression, Its Diagnosis and TreatmentJackson, Thomas Wright
History
Plague: Its Cause and the Manner of its Extension, Its Menace, Its Control and Suppression, Its Diagnosis and Treatment
Jackson, Thomas Wright
Plague; Rats as carriers of disease
Cultures obtained by this method were examined
microscopically, and the growths on various culture media
were studied. Gram stain, Löffler's methylene blue, and
hanging-drop method were used. Polar-staining and chain
formation in liquid media and the characteristic type of
colony on the surface of agar were looked for. Animal
inoculation was performed in every case, and the culture
isolated from each case was identified by agglutination test,
rabbit's immune serum being used.
The results of the bacteriological examination of a series of
24 patients are tabulated in the two following tables. Table
I includes the fatal cases and Table II those cases which
recovered.
The diagnosis of plague could be safely made from the
microscopical examination of the liquid aspirated from the
bubo in the majority of the cases. However, in certain
instances the amount of the aspirated fluid being small and
the bacilli very few, it was impossible to diagnose the case,
especially when the cultures from the bubo were negative.
Repeated examination of the patient was necessary under those
conditions, but it happened in cases 22 and 23 that the
patients died of plague before a second examination could be
made. The smears and cultures from case 22 remained sterile,
while the smears and cultures made from the swelling on the
neck of patient 23 revealed the presence of pneumococci. Both
patients died of plague, as was ascertained by examination of
the organs after death.
TABLE I.--EXAMINATION OF FATAL CASES OF PLAGUE
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