Text book of veterinary medicine, Volume 4 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 4 (of 5)
Law, James
Veterinary medicine
Outside the animal body the bacillus has a saprophytic life in rich
garden mould, street dust, stables, yards and drains, and the cracks of
floors. Nicolaier failed to obtain it in soil from forests and from the
deeper layers of garden earth. Marchesi found it to a depth of two
metres but no more. Again it is much more abundant in tropical countries
than in temperate and cold ones, and appears to be to a great extent
limited to particular localities. It has been found in the intestinal
contents of man and horse (Babes, Sormani), and in horse manure, and
this mingling with the surface soil and generating an abundance of
ammonia determines the anærobic conditions which favor the growth of the
microbe. This serves to explain the remarkable prevalence of the disease
among those living or working about stables, gardeners, agricultural
laborers, soldiers on campaign, and children and others walking with
bare feet. The contact with rich infected soil greatly favors
inoculation in any accidental wound.
An important feature in the pathology of tetanus is that the bacillus is
confined to the seat of the inoculation wound. The many attempts to
transmit the infection by blood, nervous matter, and by one or other of
the tissues have uniformly failed, though the pus of the infected wound
has proved virulent. Similarly, the attempts of Kitasato and others to
obtain cultures from the animal liquids or tissues apart from the wound
have been futile.
By inoculating the toxins remaining in the pus of the infection wound,
however, or in virulent cultures from which the bacilli have been
removed by filtration or in which they have been destroyed by heat, all
the symptoms of tetanus can be produced (Kitasato, Kund Faber, etc.) In
such cases too, the symptoms appear at once, as soon as the toxin is
absorbed, and not after a definite period of incubation as in
inoculation of the unaltered virus. Kitasato, Vaillard and Vincent
reached this conclusion by another channel. They inoculated mice at the
root of the tail with virulent tetanus cultures, and at definite
intervals after, namely, half an hour, one hour, and one and a half
hour, they made a circular incision round the wound and thoroughly
cauterized the whole, thus destroying all the inoculated bacilli. They
found that tetanus was prevented in those animals only which were
operated on at the first half hour. Again, Kitasato injected mice with
0.2 to 0.3cc. of the blood from the heart of a fresh tetanus cadaver,
and thereby produced typical tetanic symptoms and death in 1 to 3 days.
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