The suppression of tuberculosis: $b Together with observations concerning phthisiogenesis in man and animals and suggestions concerning the hygiene of cow stables and the production of milk for infant-feeding, with special reference to tuberculosisBehring, Emil von
Science
The suppression of tuberculosis: $b Together with observations concerning phthisiogenesis in man and animals and suggestions concerning the hygiene of cow stables and the production of milk for infant-feeding, with special reference to tuberculosis
Behring, Emil von
Tuberculosis -- Prevention
I began with a very interesting fact discovered by my fellow-worker,
Dr. Römer. He showed that true albumins penetrate unchanged the
intestinal mucous membrane of new-born foals, calves, and smaller
laboratory animals, and that they produce the same action on the
organism as when they are injected directly into the circulation. In
adult animals of all species, on the contrary, the true albumins must
first be digested into peptones before they can pass through the mucous
membrane. The anti-diphtheria serum and the anti-tetanus serum contain
curative substances in the form of true albumins. If such a serum be
introduced into the stomach of a healthy, full-grown animal or man,
not a trace of these bodies passes into the blood. On introducing
the serum, however, into the stomach of the new-born, the unchanged
antitoxic albumin can almost entirely be demonstrated in the blood.
This discovery indicates that the mucous membrane of adults, acting
as a dialyzing membrane, does not allow the large molecules of true
albumins to pass through unchanged, whereas the mucous membrane of
sucklings behaves more like a very porous filter.
It was but a step from this discovery to the assumption that the
mucous membrane of infants might behave similarly toward bacteria.
For my first experiments I selected anthrax bacilli, which, when free
from spores and given in milk per stomach, do not affect adult guinea
pigs at all. They are quite rapidly thrown off with the excreta,
remaining, however, a little longer in the cæcum. When the same dose
of bacilli was administered in this way to guinea-pigs less than eight
days old, they died just as rapidly of anthrax as by the customary
method of infection. Next I tried anthrax bacilli whose virulence
had been reduced. These are harmless when injected subcutaneously
into guinea-pigs. _After feeding these weakened bacilli to new-born
guinea-pigs, the blood of the animals contained anthrax bacilli,
though the animals did not die. Incidentally, a fact of considerable
theoretical importance was discovered: that the anthrax bacilli
possess a very intimate affinity for the endothelium of the heart and
blood vessels._
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