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
In 1900 Kedrowsky culturing material from 3 cases of leprosy
obtained diphtheroids from two and a streptothrix from one.
A rabbit was inoculated first intracerebrally and later
intraperitoneally with this nonacid-fast streptothrix and, when
killed six months later, showed peritoneal nodules, from which
both diphtheroids and acid-fast bacilli, but not a streptothrix,
were recovered culturally. Injections of cultures of the acid-fast
bacilli and diphtheroids into rabbits and mice produced nodules
which when cultured showed acid-fast organisms or diphtheroids.
In 1901 he cultivated a diphtheroid from a fourth case of leprosy.
Fraser and Fletcher working with Kedrowsky’s culture produced
peritoneal nodules with the killed as well as the living organism.
They were able to produce the same results with _B. phlei_. With
emulsions of leprous nodules, rich in leprosy bacilli, they could
not produce similar lesions in the experimental guinea pigs.
Rost obtained a culture on a salt-free medium from which he
prepared his _leprolin_ by a process similar to that used for
old tuberculin. It was claimed that leprolin had marked curative
power in leprosy. Recently Williams and Rost have cultivated a
streptothrix on a medium containing milk.
Clegg, by inoculating his medium with cultural amoebae, obtained
growth of a diphtheroid organism, with acid-fast tendencies, from
the spleen pulp of lepers.
Duval, by using media containing amino-acids, as result of tryptic
digestion, brought forward two organisms, one of which was a
diphtheroid and grew luxuriantly while the other showed a slow
scanty growth and was acid-fast.
Bayon, by using placental media, isolated an organism rather
resembling that of Kedrowsky. These organisms alone responded to
immunity tests when such were made by Bayon and they alone gave
rise to tissue changes resembling those of leprosy when injected
into animals.
Professor Deycke obtained a streptothrix-like growth from the
granulomatous tissue of excised leprous nodules. The ethereal
extract from this culture gave a neutral fat which he called
_nastin_ and which is the basis of a leprosy treatment.
Quite recently and after working for eighteen months, with material
from 32 nonulcerative cases of nodular leprosy, not only with media
as recommended by Duval, Rost and Bayon, but with blood and serum
culture media, both by aerobic and anaerobic procedures, Fraser has
been unable, in a single instance, to obtain any evidence of growth
from this wealth of leprosy material.
As being opposed to the possibility of culturing the human leprosy
bacillus, it may be stated that most of the experiments along this
line with rat leprosy, a disease occurring naturally in rats and
caused by an organism almost identical, as to lesions produced,
with the leprosy bacillus, have been negative. Bayon, however,
states that he has cultivated the bacillus of rat leprosy.
Public-domain text, read in full here on John Shaqi.
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