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 — John Shaqi
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
2. Ascribing the pulmonary phthisis which I succeeded in producing
experimentally to a lymphogenous or hæmatogenous infection of the
lung following previous scrofulous disease. Definition of the term
“scrofula”: multiple, caseating areas of disease in lymph-glands and in
other organs, caused by Tb. infection. Concerning the etymology of the
word “scrofula” (Greek = choeraden), see Virchow’s “Geschwülste,” Vol.
II, p. 558.
3. Other varieties of experimental phthisiogenesis;
(_a_) v. Baumgarten’s experimental method of causing pulmonary
phthisis by means of primary infection of the urogenital
apparatus.
(_b_) The experiments of Troje and Tangl with tubercle bacilli
artificially weakened in virulence.
4. Critical analysis of the so-called “Inhalation Tuberculosis” of
guinea-pigs and rabbits.
(_a_) My own experiments, in which the typical picture
heretofore regarded as that of an inhalation tuberculosis, in
the sense of an aerogenous alveolar infection, was produced by
lymphogenous or hæmatogenous introduction of tubercle bacilli,
with the complete exclusion of a primary alveolar or bronchial
infection.
(_b_) The experiments of Weleminsky (Hüppe).
(_c_) Signs distinguishing tubercular pulmonary consumption
from so-called inhalation tuberculosis.
5. Improbability, so far as importance as a phthisiogenetic factor
is concerned, of a primary bronchial, or even primary alveolar Tb.
infection following aerogenous introduction of Tb. into the mouth and
nose, through the inhalation of dust or droplets containing tubercle
bacilli.
6. Proof for my assumptions,
(_a_) That inhaled tubercle bacilli under circumstances
occurring in nature are taken up by the lymphatic receptive
apparatus without exciting, at the point of entry into the
lymph-channels, any tubercular disease.
(_b_) That inhaled tubercle bacilli, after they have entered
the lymph-channels of the throat, take the following courses:
some find lodgment in the submental glands and glands of the
neck; some are transported to the mediastinal (bronchial?)
glands; some gain the circulation and thus cause hæmatogenous
infections, especially at the peripheral (sub-pleural) endings
of the pulmonary artery, from which then the lung parenchyma
can be infected; finally, some are carried through the stomach
to the lowest portions of the intestines, from where they can
reach the mesenteric lymph-glands, the portal vein, and the
peritoneum.
(_c_) That the introduction of Tb. into the lymph-channels is
accomplished primarily by the leucocytic wandering cell, which
takes up the tubercle bacillus.
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