Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
Under favorable conditions bacteria multiply rapidly, but when
conditions are unfavorable, they take on a spore formation and remain
in a quiescent state, like the seed of a plant, waiting—it may be
years—until proper conditions are present. The spores are protected by
such a thick envelope and have such great potential vitality, that it
is much more difficult to kill them than the developed bacteria.
Certain spores that withstand 212°F. or 100°C., can be killed when
fully developed at 130°F. or 55°C.
+Toxins.+ As bacteria grow, certain poisonous chemical substances appear
about them. These poisons are produced by them directly, or are formed
in the organic matter or tissues in which they live, as the result of
their presence. Some of these substances are alkaloidal and are known
as _ferments_ or _ptomains_. Others are albuminous in nature and are
called _toxalbumins_. The ptomains and toxalbumins are exceedingly
powerful poisons, producing local necrosis, inflammation and even
suppuration, when introduced by themselves and entirely free from
living germs, into the tissues of animals. Pathogenic bacteria
abstract the lymph from the blood. As the lymph contains elements
necessary to the body, such as water, oxygen, albumins, carbohydrates,
etc., their loss brings about body-waste and exhaustion from lack of
nourishment. Again, bacteria produce a vast number of compounds, some
harmless and others highly poisonous.
The symptoms of a microbic disease are largely due to the absorption
of poisonous materials from the area of infection. These poisons may
be formed in the tissues by the action upon them of the bacteria, or
they may be liberated from the bodies of degenerating microbes.
Bacteria secrete and contain ferments like pepsin or trypsin, and as
albumoses are formed in the alimentary canal by the action of the
digestive ferments upon proteids, sugars, and starches, so microbic
albumoses are formed by the action of microbic ferments upon tissues.
The local and general symptoms of these toxins depend upon the
particular toxin employed and a large number of these poisons have
been isolated and studied. Those of the surgically important
pathogenic germs, produce inflammation locally, with general symptoms
of fever, chills, cardiac depression, irritation of the kidneys and
bowels and cerebral symptoms, such as delirium and coma. The
toxalbumins also appear to have the effect of destroying the bacteria
to which they owe their origin when they have been produced in large
quantity.
+Cultivation.+ Bacteria are cultivated for study in the laboratory in
meat extracts, in gelatine, or agar agar (a sort of vegetable
gelatine), or raw potato, in blood serum and in other materials. The
simplest method of cultivation is in bouillon, sterilized in flasks,
with cotton plugs. Another method of studying bacteria is by the
inoculation of animals.
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