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
Shake up an egg with an equal quantity of water and add to this
egg solution an equal quantity of a 5% solution of anhydrous
sodium carbonate. Steam one hour. Then add 1 part of this alkaline
egg medium to 9 parts of peptone solution, filter and sterilize.
Recent reports on _Aronson’s cholera medium_ would indicate its
great value in stool examination for cholera. The organisms taken
from such plates emulsify easily and there is no interference with
their agglutinability. To prepare it add to 100 cc. of 3% nutrient
agar, 6 cc. of 10% solution of exsiccated sodium carbonate and
steam in Arnold sterilizer for fifteen minutes. Then add 5 cc. of
20% saccharose solution, 5 cc. of 20% dextrin solution, 0.4 cc.
saturated alcoholic basic fuchsin and 2 cc. of 10% sodium sulphite.
A precipitate forms which quickly settles and plates can be poured
from the supernatant fluid. Cholera colonies develop in twelve
hours and show as red colonies in fifteen to twenty hours.
Test for _cholera red_ reaction. Add from three to five drops of
concentrated chemically pure sulphuric acid to the first or second
peptone culture after eighteen to twenty-four hours growth. Some
specimens of peptone do not give the reaction. At times we only get
the cholera red when we have a pure culture of cholera.
PROGNOSIS
There is the greatest variation in the mortality in different
epidemics as is true of most other epidemic diseases. At any rate 50%
may be considered an average mortality.
Young children and old people give a very high mortality rate as is
also true of alcoholics and those with kidney disease.
PROPHYLAXIS AND TREATMENT
=Prophylaxis.=—Of all the quarantinable diseases cholera is the one
in which personal prophylaxis is apparently of greatest influence in
protection from infection.
In the presence of cholera one should not only drink recently
boiled water, which has been protected from the contaminating
influence of flies, but all forms of uncooked food should be
avoided. In the first rank of prohibited foods should be raw shell
fish and uncooked salads. Such articles as lettuce and celery are
particularly dangerous on account of the moisture retained. Fruits
such as bananas and oranges can be made safe by covering them with
boiling water for two or three minutes and subsequently peeling.
Care must be taken that native servants do not put fish, which may
have been contaminated with cholera-infected water, on the ice in
an ice box and through such a source to have the butter, etc.,
infected. The most scrupulous attention should be given the matter
of the care of the ice-box in the tropics.
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