The only articles considering this important question from the
experimental side are those of Jackson and Moody, and of Moore, who
conclude tentatively that scurvy may be a bacterial infection. Jackson
and Moody cultivated a diplococcus from the tissues of scorbutic animals
after death, reproduced hemorrhages by inoculating cultures of these
microörganisms into the circulation, and recovered the bacteria from the
tissues some weeks later. Their results are open to the criticism that
bacteria were found only after death, and that all blood cultures
during life proved negative. An article by Moore, however, which has
just appeared from this same laboratory, states that "an organism of the
streptococcus viridans type was isolated from the blood" in a case of
adult scurvy. In one instance we recovered an organism of this type from
the blood of an infant suffering from scurvy. It is highly important
that more blood cultures should be carried out in the course of human or
animal scurvy, and that particular note should be made of the stage of
the disorder when they are taken.
There is no doubt that invasion of the blood-stream does occur readily
in the course of scurvy, but this takes place generally after the
disease has developed and must be regarded as a secondary phenomenon and
therefore unessential from an etiologic standpoint. Indeed one of the
striking and important symptoms of scurvy is the marked susceptibility
to infection (furunculosis, nasal diphtheria, "grippe," etc.), which
comes about as the result of the nutritional disturbance. An excellent
example of this interrelationship is the "epidemic" of hemorrhagic
scurvy described in the chapter on symptomatology. Hemorrhages coming
about in this way should be regarded as focal complications rather than
as truly scorbutic. It should be realized that, at the present time, it
is not possible to distinguish between local symptoms which are truly
nutritional or scorbutic in nature, and those which are bacterial and of
secondary origin.
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