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
In all animal experiments it is of the greatest importance that the
bacteria be known which may interfere in the experiments through
spontaneous infection (often liable to be induced by the injection) from
the animal’s own flora, as well as the greater susceptibility of
previously diseased animals (Nastjukoff). It would appear from the
results of Bruschettini and Cornil and Chantemesse in the early days of
the influenza bacillus, and those of Lamb and Brannin in their recent
study, that these authors did not seriously consider the spontaneous
infection of guinea pigs and rabbits with B. bronchisepticus or the
bacillus of rabbit septicæmia, both morphologically, very similar to B.
influenzæ. Rosenow in his experiments with streptococci from cases of
influenza has also apparently failed to realize the importance of the
lung lesions produced by the B. bronchisepticus in guinea pigs as
reported by Theobald Smith, myself and many others.
Parker has found a filterable poison from the influenza bacillus which
developed rapidly (6 to 8 hours) in a special heated blood broth medium,
deteriorated rapidly even in the cold, and killed rabbits in quantities
of 2 c.c. in from 1 to 3 hours. Rabbits could further be immunized
against this poison, and their sera protected other rabbits against
fatal doses. This is the first time that a true powerful toxine has been
obtained. Couret and Herbert obtained toxine from B. influenzæ in
Avery’s oleate broth. Huntoon and Ross also clearly demonstrated toxine
production by this organism so that it would appear, with this
confirmation, that the B. influenzæ can be definitely classed among the
toxine producers. Toxemia being the most striking clinical
characteristic of influenza, we have in these findings very strong
evidence of the etiological importance of this hemophilic bacillus to
the disease. A very interesting observation was made by Latapie that the
serum of a goat immunized against influenza bacillus is toxic if it is
used shortly after the injection of the microbes, but that this toxicity
is absent three weeks after the last injection. It would appear to me
that the evidence of a filterable virus from the secretions of the
respiratory tract does not eliminate the very probable toxine from such
materials. The production of toxine by this organism probably depends,
as is the case with very many of our toxine formers, on the most
favorable combinations of conditions. That it is not readily formed in
artificial cultures, or that it is very unstable if formed, is evidenced
by the frequent failures of a great many workers. It has been suggested
that different symbiotic conditions in the respiratory tract determine
the amount of toxine produced. Huntoon found a high toxine production in
mixed cultures with streptococci. This, however, does not appear to be
necessary, as there is ample evidence of severe toxemia from pure
infections with B. influenzæ in various parts, such as the accessory
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