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
Two days after the death of rat 2 three guinea-pigs, which
were kept in separate cages in the same room, were found dead
of plague (smears and cultures were both positive). Several
fleas (_Lœmopsylla cheopis_) were found on the necks of these
animals. They were collected and inoculated in the same way
as the fleas from the first rat. The experimental animal,
which was inoculated with the fleas, was killed and found to
be infected with plague. The findings were local reaction,
inguinal buboes, and typical spleen. Smears and cultures were
positive for _Bacillus pestis_.
Although numerous healthy guinea-pigs were examined in the
same plague house, no fleas could be found at that time, only
the 2 rats and the first 3 guinea-pigs are positively known
to have harbored fleas, the latter after the death of the
rats and not before.
The gross lesions in these naturally infected guinea-pigs
were somewhat unlike those found in guinea-pigs infected
either by vaccination or by intraperitoneal or subcutaneous
inoculation. All except one showed primary buboes on the neck
with more or less extensive hemorrhagic œdema extending in
some cases over the thorax. There was little pleural effusion
present; the spleen always showed typical changes of necrotic
foci varying in size and number. In one instance similar foci
were found also in the liver, large enough to be visible
macroscopically. This was in a case where like changes were
found in the lungs.
Only one of the guinea-pigs showed an exception, in that the
primary buboes were located in the inguinal region, with
pelvic and axillary glands secondarily involved. These are
the findings usually met within guinea-pigs artificially
infected with plague by the vaccination method, if the lower
part of the abdomen be chosen for inoculation. The reason for
such a deviation from the findings in the rest of the
guinea-pigs may lie in the fact that this animal was almost
completely deprived of hair by a skin disease.
It is of importance to mention the skin lesions which were
found on the necks of the guinea-pigs, particularly under the
chin. Besides small red spots which appeared to be fresh flea
bites, small, elevated, and fairly deep infiltrations partly
covered with moist scab were found in the skin under the
chin. Other animals showed changes usually found in the
scarified skin of guinea-pigs after artificial inoculation
with plague material. The base of each cutaneous
efflorescence was hemorrhagic and œdematous.
A histological study of the tissues of these guinea-pigs
known to be naturally infected by plague fleas showed the
following changes:
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