The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
In a guinea-pig, for instance, a single virulent anthrax bacillus
will produce death, whereas in a more resistant animal many are
required, and in still others there is absolute immunity against the
disease. Man is much more susceptible to the pyogenic organisms than
most of the lower animals, which is one reason why wrong deductions
have been drawn from many experiments, and why veterinary surgeons,
who are so careless of all antiseptic precautions, as a rule have
good results in work which, done after the same fashion on the human
being, would be inevitably fatal. It is one reason also why one may
draw false inferences from experimental work, for instance, upon dogs,
which survive many an operation which can scarcely be successfully
repeated upon a human being. The influences which affect the vitality
and virulence of microörganisms are most numerous and widespread.
Temperature, sunlight, moisture or dryness, association with other
bacteria, are but a few of the conditions known to be more or less
operative. Inoculation with a small number of certain bacteria may
be harmless; up to a certain number it may produce only a local
disturbance, like abscess, while a still larger dosage may produce
fatal results. This is not the case with all, however, but only with
some organisms. Bacteria which have been repeatedly passed through
the animal body become more virulent than those cultivated for many
generations in test-tubes in the laboratory. This variable virulence is
especially characteristic of the colon bacillus, the anthrax bacillus,
and the micrococcus of erysipelas. Nor does it always follow that the
most virulent organism is necessarily cultivated from the most toxic or
serous manifestation of its activity.
2. =Association.=--Bacteria are seldom found in pure cultures under
natural conditions. By mutual association remarkable changes are
produced, sometimes in the direction of enhanced virulence, sometimes
in the direction of attenuation of effect. Certain organisms, extremely
dangerous alone, lose their power when combined with others, while
still others have their virulence increased to a rapidly fatal degree.
In fact, these effects are so strange and so contradictory that no law
governing them has yet been formulated, it being necessary to establish
each case by experimental investigation. The virulence of the anthrax
bacillus under ordinary circumstances is well known, as is also that of
the streptococcus of erysipelas in man. Yet, when these two organisms
are introduced simultaneously, the mixture is apparently wellnigh
harmless. On the other hand, the simultaneous inoculation of certain
other species greatly increases the danger from either alone. The
diplococcus pneumoniæ when combined with the anthrax bacillus seems to
have a greatly augmented power.
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