Scientific American Supplement, No. 385, May 19, 1883Various
Science
Scientific American Supplement, No. 385, May 19, 1883
Various
Science -- Periodicals
In order to demonstrate the presence of the limnophysalis in the blood
of patients affected with intermittent fever during the febrile stage,
properly speaking, it appeared necessary for me to dilute the blood of
patients with a solution of nitrate of potassa, having at 37.5°C. the
same specific gravity as the serum of the blood. With capillary tubes of
glass, a little dilated toward the middle, of the same shape and size as
those which are used in collecting vaccine lymph, I took up a little
of the solution of nitrate of potassa above indicated. After this I
introduced the point of an ordinary inoculating needle under the skin,
especially in the splenic region, where I ruptured some of the smallest
blood-vessels of the subcutaneous cellular tissue. I collected some
of the blood which flowed out or was forced out by pressure, in the
capillary tubes just described, containing a solution of potassa;
after which I melted the ends with the flame of a candle. With all the
intermittent fever patients whose blood I have collected and diluted
during the febrile stage, properly speaking, I have constantly succeeded
in finding the Limnophysalis hyalina in the blood by microscopic
examination.
It is only necessary for me to mention here that it is of the highest
importance to be able to demonstrate the presence of fungus in the blood
of the circulation and in the urine of patients in whom the diagnosis
is doubtful. The presence of the Limnophysalis hyalina in the urine
indicates that the patient is liable to a relapse, and that his
intermittent fever is not cured, which is important in a prognostic and
therapeutic point of view.
When the question is to prevent the propagation of intermittent fevers,
it is evident that it should be remembered that the Limnophysalis
hyalina enters into the blood by the mucous membrane of the organs of
respiration, of digestion, and the surface of the pulmonary vesicles. We
have also to consider the soil, and the water that is used for drinking.
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