The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
_C._ =Lungs.=--The varied types of pneumonia due to many different
organisms (tubercle, glanders, influenza, plague bacilli, pneumococcus,
streptococcus, micrococcus and many others) show how frequently these
organs are the seat of a localized infection, which may or may not be
general. Whether the lungs are the actual point of entrance in these
cases is a question which is much discussed at the present time,
particularly with reference to tuberculosis. The mucous secretion
of the respiratory tract tends to catch incoming bacteria and other
small particles and the ciliary movement along bronchial tubes and
trachea tends to carry such material out. “Foreign body pneumonia”
shows clinically, and many observers have shown experimentally that
microörganisms may reach the alveoli even though the exchange of
air between them and the bronchioles and larger bronchi takes place
ordinarily only by diffusion. The presence of carbon particles in the
walls of the alveoli in older animals and human beings and in those
that breathe dusty air for long periods indicates strongly, though it
does not prove absolutely, that these came in with inspired air. On the
other hand, experiment has shown that tubercle bacilli introduced into
the intestine may appear in the lungs and cause disease there and not
in the intestine. It is probably safe to assume that in those diseases
which are transmitted most readily through close association though
not necessarily actual contact, the commonest path is through the
respiratory tract, which may or may not show lesions (smallpox, scarlet
fever, measles, chicken-pox, whooping-cough, pneumonic plague in man,
lobar and bronchopneumonias and influenza in man and animals, some
cases of glanders and tuberculosis). On the other hand, the fact that
the _Bacterium typhosum_ and _Bacterium coli_ may cause pneumonia when
they evidently have reached the lung from the intestinal tract, and the
experimental evidence of lung tuberculosis above mentioned show that
this route cannot be excluded in inflammations of the lung.
_D._ =Alimentary Tract.=--The alimentary tract affords the ordinary
path of entrance for the causal microbes of many of the diseases of
animals and man, since they are carried into the body most commonly and
most abundantly in the food and drink.
(_a_) The stomach is rarely the seat of local infection, even in
ruminants, except as the result of trauma. The character of the
epithelium in the rumen, reticulum and omasum in ruminants, the
hydrochloric acid in the abomasum and in the stomachs of animals
generally are usually sufficient protection. Occasionally anthrax
“pustules” develop in the gastric mucosa. (The author saw nine such
pustules in a case of anthrax in a man.)
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