The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
L. =The Bacillus of Bubonic Plague.=--This was recently discovered
by Kitasato, and, in view of the recent ravages of the disease in
the Orient, has assumed considerable importance. It grows upon most
media, and is found in the blood, in buboes, and in all internal
organs of patients suffering from this disease. The smaller animals
are susceptible upon inoculation. Animals fed with inoculated foods
die also, showing the possibility of infection through the intestine.
When exposed to direct sunlight for a few hours the bacillus dies. The
general symptoms of the disease are those of hemorrhagic septicemia and
its consequences.
M. =The Bacillus of Rauschbrand.=--This is seldom, if ever, seen
in this country. It is known in England as “the black-leg” or
“quarter-evil.” It is an anaërobic organism, frequently met with in
cattle, which causes a peculiar emphysema of subcutaneous tissue,
spreads deeply, and is followed by a copious exudate of dark serum with
gas formation. The smaller animals are not ordinarily inoculable; but
if to the culture material there is added 20 per cent. of lactic acid,
their insusceptibility is overcome and they succumb to the disease.
So, also, as in the case of the tetanus bacillus, by addition of the
bacillus prodigiosus or of proteus vulgaris the disease may be produced
in otherwise insusceptible animals.
N. =The Bacillus Aerogenes Capsulatus.=--The bacillus aërogenes
capsulatus seems capable sometimes of causing pyogenic and even fatal
infection. Its presence is associated with gas formation. It grows as
an anaërobe.
O. =The Bacillus of Chancroid.=--The bacillus of chancroid identified
by Ducrey, and briefly described in the chapter on that subject.
[Illustration: FIG. 7
Rhinoscleroma: infiltration of tissues about the nose. (Case reported
by Dr. Wende, Buffalo.)]
[Illustration: FIG. 8
Bacilli of rhinoscleroma. × 1000. (Fränkel and Pfeiffer.)]
YEASTS.
Busse was the first to call attention of clinicians and pathologists
to the role played by yeasts in certain infections. Since the original
observations of Busse in a case in which the organism produced a
general infection, the lesions of which were a combination of tumor
and abscess formation, various observers have noted the presence of
pathogenic yeasts, usually in skin lesions. Gilchrist and Stokes were
the first in this country to determine the nature of these organisms,
and their observations have been followed by the detection of a large
number of similar cases. In the skin lesions the organisms are found
in minute abscesses; in the subcutaneous tissue and in the infections
similar to those of Busse large abscesses surrounded by extensive
masses of granulation tissue characterize the infection. The organisms
can be detected in the pus by means of an examination of the fresh
unstained fluid (Fig. 9).
FUNGI.
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