In a patient in whom it was decided to excise the contracted tissue in
two hands the more recently affected member was selected for experiment.
The skin was incised under strict antiseptic precautions, portions of
the growing tissue were cut away with the aid of a knife and forceps,
sterilised by heat immediately before use, and the fragments excised
were at once placed in cultivating tubes of agar-agar and gelatine. In
a second case a commencing nodule upon the plantar fascia of a patient,
suffering also from Dupuytren’s contraction of the hands, was treated in
a similar manner. In Case 1 two of the three fragments quickly showed
a growth obviously due to contamination. On the third and fourth days
a yellow nodule appeared in all three specimens, and on cultivation
assumed a form which led us to believe that a specific organism had been
isolated; but on making a cover-glass preparation of this it proved to
be merely a form of yellow sarcina. In the jelly tube containing one of
the original pieces of tissue, and in the agar tube a second growth,
_micrococcus candidans_, subsequently developed, and a like growth
appeared in Case 2. It is desirable that these experiments should be
repeated; but it must not be assumed that negative evidence necessarily
disproves the agency of organisms; partly because our present means of
detection are not yet perfected, and partly because the tissue examined
may merely offer the result of a morbid process that has already come
to a natural termination. Sections from Case 1 stained with fuchsin and
by Gram’s method showed no organisms as viewed under 1/12 homogeneous
immersion.
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