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
Having thus studied the fate of anthrax bacilli introduced into the
stomach of new-born and adult guinea-pigs, I now turned to a similar
study of tubercle bacilli. Together with Dr. Römer I studied the
behavior of guinea-pigs toward a definitely weighed quantity of
tubercle bacilli given in _one single feeding_. And here also, as
in the case of anthrax bacilli, it was found that when the tubercle
bacilli could be demonstrated microscopically nowhere else in the
alimentary tract, they were often present in the cæcum. After a single
feeding of a small quantity of tubercle bacilli, only the new-born or
the few-days-old guinea-pigs became tuberculous. When larger doses were
administered it happened that older animals also became tuberculous. At
the post-mortem examination of the new-born, a few days later, there
were found submiliary thickenings, with tubercle bacilli in the great
and the lesser omentum. There were also little nodules at a point
on the root of the mesentery, not far from the cæcum. Of especial
interest is the further development of this alimentary tuberculosis
in the guinea-pigs which survived. In these animals, even while their
general health remains good, it is always possible to demonstrate a
tuberculosis of the glands of the neck, a type of disease which may be
said to correspond to scrofula in man. Not infrequently there is later
on developed that type of guinea-pig tuberculosis which has heretofore
been regarded as the expression of an inhalation tuberculosis.
In the results of all these investigations I see experimental support
for the view I have for some time maintained, namely, that the origin
of the epidemiological pulmonary tuberculosis in man and that of the
epizootic pulmonary tuberculosis in cattle is a primary intestinal
infection occurring in very early infancy. In this I leave undecided
whether the bacilli gain access to the body through feeding or through
inspiration.
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