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
More than half of the rats examined harbored parasites in
their organs. _Echinococcus taeniæformis_ was found in the
liver of practically every gray rat, while a small _Ascaris_
and _Tænia diminuta_ were not uncommon in the intestines. Two
rats were found to have sarcosporidiosis, 2.6 per cent.
showed rat leprosy, and 7.4 per cent. trypanosomiasis. One
tumor of the mammary gland and one tumor in the axillary
region were encountered, while one tumor of the large
curvature of the stomach proved to be a chronic inflammatory
tumor due to parasites. One peritoneal tumor in a rat (_Mus
decumanus_) gave the impression of a malignant tumor on
account of the miliary dissemination of the peritoneum. It
was found to consist of muscle and spindle-cell sarcomatous
tissue. Ectoparasites were very seldom noticed, on account of
the method of collecting the rats. When present, they were
mites and fleas.
In the naturally infected plague rats the rigidity of the
fresh cadaver was pronounced. The primary bubo was in every
case cervical. Cervical glands were enlarged and hemorrhagic
with slight œdema of the surrounding tissue. The subcutaneous
injection extended over the neck and chest. The inguinal
glands were small and pigmented. The lungs were collapsed,
and showed hemorrhagic foci. The spleen was slightly
enlarged, firm, and dark red. The liver was rather large,
firm, pale red, with shade of yellow, which was caused by
minute yellowish foci thickly scattered throughout the tissue
and visible through the capsule. The kidneys were hyperæmic.
The intestines were without change. The serous membranes were
pale with no hemorrhages.
Histological examination of the tissue of naturally infected
plague rats showed the following changes:
_Liver._--The structure of the organ was well marked; the
veins dilated, trabeculæ slightly compressed, nuclei well
stained, and few of the liver cells showed vacuoles. Small
foci, most numerous under Glisson's capsule, were scattered
throughout the organ; they varied in size, but were not
larger than a miliary tubercle. The small necrotic foci were
found to consist of few necrotic liver cells. The centre of
the larger foci was formed by degenerated and necrotic liver
tissue, surrounded by round-cell infiltration.
Polymorphonuclears were also found in the zone of cellular
infiltration. There was a slight degree of hemorrhage in
each focus. Epithelioid cells and large vesicular cells with
several nuclei were to be found. The foci, mentioned above,
were sharply demarcated from the surrounding liver tissue,
which appeared to be intact.
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