The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
The bacillus of tetanus is a somewhat slender, rod-shaped organism,
with a peculiar tendency to spore formation at one end, which gives
it a drumstick appearance. It is essentially an anaërobic organism,
and can never be cultivated in contact with the air. In laboratory
experiments it is grown in the depths of a solid culture medium or
else in fluids and on surfaces in an atmosphere of hydrogen gas. It is
one of the apparent contradictions of bacteriology that this organism,
which can only be grown as an anaërobe, nevertheless abounds in earth,
particularly the rich, black loam which best supports luxuriant
vegetable life, and that it practically inhabits the upper layers of
the soil, which accounts for the fact that so many contaminations and
infections have occurred from stepping upon planks or boards with nails
projecting, or from introduction of splinters, or from lacerations of
the hands and feet which are so often followed by contact with such
materials. There is nothing about a rusty nail wound which, by itself,
predisposes to tetanus, but the rusty nail upon which a person steps
is either itself infected or leaves a rent or wound which may become
infected within the next few moments, and which is not likely to
receive the careful attention which it should. Verneuil has of late
laid stress upon the fact that in localities where horses are kept
tetanus is more prevalent, and that the infectious organism abounds in
and upon stable floors, about barn-yards, and wherever the excretions
of a horse may be found. Bacteriologists are aware that in the
intestines of herbivorous animals the bacilli (anaërobic) of tetanus
and malignant edema are often found. Verneuil has further shown that
almost the only instances of tetanus which occur on shipboard are upon
those ships which are used for transportation of horses and cattle. His
statements are at least interesting, if not absolutely well-founded. At
all events, tetanus is certainly of telluric origin.
A French veterinary surgeon of twenty-five years’ experience had not
seen a single case of tetanus until 1884, when he “removed a tumefied
testicle from a horse, with the _ecraseur_, and it died of tetanus;
in the following six months he castrated five, and all died; another
castrated fifteen in one day, and all died but one; another in ten
days castrated six bulls and operated on three fillies for umbilical
hernia, when five of the bulls and one of the fillies died.” This will
illustrate how the infectious agent may be conveyed by instruments, etc.
Public-domain text, read in full here on John Shaqi.
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