As is well known, Morpurgo, a generation ago, claimed to have produced
rhachitic lesions in young rats by means of artificial infection with a
gram-positive diplococcus. Pappenheimer brought about similar lesions in
rats by the injection of a suspension of bone marrow from a rhachitic
animal. Koch injected a streptococcus longus intravenously into young
dogs, occasioning gross bony changes of the epiphyses and costochondral
junctions, and microscopic changes resembling scurvy--an irregular line
of ossification and "a framework" marrow, which, however, showed regions
of osteoid. Jackson and Moody were able to isolate from the crushed
tissue of their guinea-pigs "a diplococcus of low virulence with a
tendency to form chains and produce green (color) on blood agar." Pure
strains of these organisms inoculated into the circulation of
guinea-pigs and rabbits, living under ordinary conditions (a mixed diet
consisting of green vegetables, hay and oats), gave rise in most
instances to hemorrhagic and other lesions in the bones, joints,
muscles, lymph-glands or gums. Hemorrhages were found beneath the
periosteum in the region of the lower incisor teeth and the acetabulum
and ribs. These results are far from constituting evidence in favor of
the microbic origin of scurvy. They show merely that the tissues of
scorbutic animals frequently harbor bacteria, and that injections of
these bacteria will bring about hemorrhages which may be subperiosteal
in character. They are open to the specific criticism that scurvy was
produced readily in the rabbit, an animal which otherwise does not
develop scurvy, and, furthermore, they differ from feeding experiments
in inciting scurvy notwithstanding the fact that the animals were
receiving an antiscorbutic diet (green vegetables). Cultures of the
hearts' blood of the affected animals were sterile in every instance; a
result obtained likewise by Holst and Froelich.
Further studies of this kind should be carried out and should include
cultures of the blood and tissues of guinea-pigs in the various stages
of scurvy, especially the early stage. In addition, a histologic study
should be made of the bones of animals injected with bacteria
(preferably streptococci), in order to ascertain whether notwithstanding
an unrestricted diet, typical lesions can be produced by this means.
For further details of the pathology of scurvy, the reader is referred
to the chapter on human pathology.
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