In every case the acquired immunity is only temporary. We will recall
to recollection the method employed by Pasteur for vaccinating against
anthrax, using attenuated cultures, a method which is practiced daily
at the present time.[103]
[103] CHAMBERLAND: _Le Charbon et la Vaccination Charbonneuse_, Paris,
1887. PETERMANN: _Annal. Instit. Pasteur_, VI, p. 32.
From the cultures of symptomatic anthrax (Bacillus Chauvæ) Chauvée
extracted a very active toxin which can withstand without impairment
a temperature of 110°C.[104] Roux[105] has shown that the serum of
animals that have succumbed to the symptomatic anthrax is capable
of vaccinating against this disease; we have here a new proof that
the antitoxin is in fact a product of the defense of the cells of
the organism, and the author mentioned has been able to vaccinate
guinea-pigs by injecting into the peritoneum culture bouillon
sterilized by heating to 115° C. or by filtering through porcelain.
[104] DEUTSCHMANN: _Annal. Instit. Pasteur_, VIII, p. 403.
[105] _Annal. Inst. Pasteur_, Feb. 1888.
=Tubercular Toxin.=--The culture bouillons of Koch's bacillus contain
one or more active substances which constitute, and which is at the
present designated as, tuberculin.[106] Koch's therapeutic tuberculin
is obtained by evaporating to one-tenth its volume a culture bouillon
of Koch's tubercle bacilli prepared from a 4-per cent. glycerinic
mutton bouillon, and filtering through porcelain. By fractional
precipitation it is possible to obtain from the crude tuberculin so
prepared a product which is considered as pure tuberculin, and which
possesses considerable activity.
[106] AUCLAIR: _Thèse de doctorat_, Paris, 1897; and _Arch. de
Médecine_, exp. 1898.
Prolonged boiling on the water-bath completely destroys the activity
of this tuberculin, which moreover hardly ever keeps longer than three
weeks. It has been found possible to preserve it for an indefinite
period, however, by adding to it 30 to 40 per cent. of glycerin. It
possesses all the general reactions of albuminoids.
Tuberculin is not toxic in the proper sense of the word. Injected in
small quantities into the healthy human being[107] and into healthy
animals, it exerts no effect; on the other hand, however, in tubercular
organisms, even in incipient stages of the disease, even where it is
almost impossible to make a clinical diagnosis, the injection of very
small quantities develops a lively and characteristic reaction.[108]
[107] KOCH: _Deutsch. Med. Woch._, Nov. 13, 1890-1897, No. 14, p. 209.
[108] _Annal. de l'Instit. Pasteur_, V, p. 191; _Arch. de la Soc. Biol.
de Saint-Pétersbourg_, I, p. 213.
Grasset and Vedel consider the tuberculin as an excellent means of
diagnosing tuberculosis in man, but in such a case it is necessary
to operate with the greatest caution, with very small quantities of
the tuberculin, and to feel, in some sort, the sensitiveness of the
patient, particularly in the case of children.
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