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
The following conclusions can be drawn from these
observations:
1. The common rat flea (_Lœmopsylla cheopis_) prefers the rat
to the guinea-pig.
2. In the absence of rats it will attack guinea-pigs rather
than rabbits.
3. The fleas which have sucked blood from rats or guinea-pigs
afflicted with plague septicæmia were found to harbor
virulent plague bacilli inside of their bodies.
4. The transmission of plague infection by direct or indirect
contact being excluded in our case, the fact that fleas of
the same species and harboring plague bacilli were found on
the rat and on the guinea-pigs, the presence of flea bites on
the rats and on the guinea-pigs with positive findings of
skin lesions on that part of the body where the fleas and
flea bites were located, together with the anatomical picture
of the findings in the guinea-pigs, lead to but one
explanation; namely, that the plague infection was
transmitted by fleas.
III. OBSERVATIONS ON ANIMALS SUSPECTED OF PLAGUE
Out of the several tens of thousands of rodents examined
during the antirat campaign, we have found only two plague
rats which showed the typical picture of natural plague
infection in rat; that is, cervical buboes with surrounding
œdema, subcutaneous injection, pleural effusion, enlarged
spleen, and such changes of the liver as are characteristic
of natural plague infection in rats. Microscopically, large
numbers of plague bacilli were found in these cases, and pure
cultures of _Bacillus pestis_ were recovered from the spleen.
Histological examination of internal organs, particularly
that of the liver, confirmed the bacteriological findings.
The remainder of the plague rats exhibited only two of the
signs of plague infection, namely, bubo and œdema of the
surrounding tissue, and eventually hemorrhages.
Besides plague infection, a great number of rats showed
purulent conditions from causes other than plague. Abscesses
of the lungs were frequently met with, and cervical or
axillary buboes are not uncommon in Manila rats. Various
pyogenic bacteria were found in the pus of such abscesses. Of
the less common was _Bacillus pyocyaneus_ and the
pneumobacillus of Friedländer. Chronic plague was excluded in
these cases since the animal inoculation failed to produce
plague infection.
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