Studies on Epidemic Influenza: Comprising Clinical and Laboratory InvestigationsUniversity of Pittsburgh. School of Medicine
History
Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations
University of Pittsburgh. School of Medicine
Influenza; Influenza Epidemic, 1918-1919
The largest colonies of the bacillus I have obtained
were those growing near the periphery of a colony of an air nocardia. I
have also noted that emulsions of a staphylococcus killed by boiling for
five minutes, when added to ordinary blood agar, had a marked
stimulating effect, although no evidence of hemolysis was present. This
effect was practically absent if the emulsion was boiled for 15 minutes,
or after being killed was left at room temperature for several days.
There was no evidence of these stimulating effects by any of these
methods when heated blood agar was used, the colonies on this medium
growing equally large by themselves. Comparative studies of the effect
of different bacteria can be simply carried out as follows: Smear evenly
the surface of an ordinary blood agar plate with an emulsion of B.
influenzæ. Seed this plate at various points with minimal amounts of the
various bacteria. After various periods of incubation the size of the B.
influenzæ colonies about the other bacterial growths can be estimated,
and impression preparations on cover glasses will give very interesting
pictures.
The growth of B. influenzæ in primary cultures from sputa and similar
sources is to be explained by the probable presence of traces of blood
or altered hemoglobin as well as the symbiotic relationship with other
bacteria. Fichtner used fresh heated sputum (60 to 65° C.) in place of
blood, and Richter a medium made with sterilized pus. Parker, in her
study of a filterable poison produced by the B. influenzæ, found veal
infusion broth with 10 per cent. defibrinated blood heated to 75° C.
until the blood coagulated and settled on standing to be the best for
the purpose. Jordan in his study of indol production by these bacteria
used a meat infusion broth with 5 per cent. sheep’s blood added at 90°
C. or over and filtered through cotton or paper. Wittingham and Sims
noted that in using blood from influenza cases the bacteria frequently
did not grow, more especially B. influenzæ; and Rivers found human blood
poorer than cat or rabbit blood for growing this organism, as did
Minaker and Irvine. It would seem clear from this review of some of the
suggestive work on the methods of growing B. influenzæ that little
attention should be given to the results of many workers, where ordinary
media were used, particularly when the difficulties of isolation were
not appreciated.
_B. Influenzæ as a Pathogenic Bacterium_
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