The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
_Chronic Plague in Rats._—The Indian investigators have called
attention to the existence of a chronic plague in rats. In this we
have chronic buboes, areas of necrosis in spleen and abscesses of
the spleen. It is chiefly in the spleen that the lesions occur, thus
differing from the acute plague in rats above described. Of 27,699
_M. norvegicus_, examined in Bombay, O.57% showed signs of chronic
plague.
In the necrotic material plague bacilli can be found in
approximately one-half of these rats although frequently the
bacilli are nonvirulent. It is possible that this chronic plague
in rats may serve as the reservoir of infection which keeps up
plague epizootics from year to year. Plague in India, according to
White is less virulent now than formerly and this is attributed to
a greater immunity of the rats.
_As regards pneumonic plague_ the origin of such epidemics is
probably from pneumonia occurring secondarily in cases of bubonic
plague. Provided the conditions are favorable, particularly as to
moisture in the air of the room, the infection spreads directly from
man to man as a result of the droplets of heavily infected sputum
being sprayed into the air in the act of coughing on the part of the
patient. It is an instance of _Flügge’s droplet method of infection_.
In the recent epidemic of pneumonic plague in North China, it was
at first thought that the hunting of the tarabagan for its valuable
skin, which led some of the Chinese to even capture tarabagans,
possibly sick with plague, was the origin of the epidemic. This
view is no longer held and we now know that the outbreak was
independent of any disease in rats, tarabagans or other animals.
Strong has shown that the bacillus which was isolated from these
cases of pneumonic plague was identical with that isolated from
cases of bubonic plague; its virulence was no greater and animals
infected cutaneously or subcutaneously died of bubonic plague.
Experiments by Teague and Barber, with emulsions of plague bacilli,
showed that with a room temperature of 32°C. plague bacilli were
quickly destroyed when the air was comparatively dry. In such an
atmosphere, saturated with moisture, the viability would be greatly
prolonged. In the plague wards in Manchuria the extreme cold which
prevailed, together with the saturation of the atmosphere of the
unventilated rooms by the moisture of the breath of the patients,
made conditions most favorable for the viability of the plague
bacillus. They note that in the plains of India, although about 3%
of bubonic cases assume a pneumonic type, yet epidemics of plague
pneumonia do not occur; this is probably due to the fact that
the higher temperatures and open rooms make evaporation occur 30
times more rapidly there than was the case in the plague wards in
the bitter cold weather of the Manchurian winter. The possibility
of carriers of plague bacilli in those who might go on to
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