It is chiefly for the diagnosis of tuberculosis in cattle, however,
that tuberculin is valuable. Thanks to Nocard, the procedure has to-day
become a common practice. The injection of a fairly large dose, 0.3
to 0.4 Gm., according to the size of the animal, causes, in about ten
hours or so, if the animal is tuberculous, a strong febrile reaction
with an elevation of temperature of 1.5 to 3° C., whereas if the animal
is not tuberculous no such reaction takes place.
Cases in which tuberculosis is far advanced, and in which the organism
is impregnated with tuberculin, do not react after the injection of
tuberculin.[109]
[109] NOCARD and LECLAINCHE: _Les Maladies Microbiennes des Animaux_.
Tuberculin does not confer immunity, and the bacillus retains all its
virulence, even in injected tissues; nevertheless, the return to health
of animals in which injections have been recently made may be due to
the action of large doses of the serum; and on the other hand the
tuberculin, in large quantities, may render the location unsuitable for
the development of the tubercle bacilli.
=Diphtheria Toxin.=--The most characteristic property of the diphtheria
bacillus is the production, in culture media, of a special toxic
substance which has been named _diphtheritic toxin_; this name,
however, has come to be also extended to a liquid in which the bacilli
have lived, and which has been sterilized by filtration or by any other
suitable process.
Roux and Yersin[110] were the first to affirm that diphtheria is an
autointoxication caused by a very active poison formed by the microbe
in the restricted locality where it develops. In order to obtain this
toxin[111] a culture of the bacillus is first made in a mutton bouillon
made strongly alkaline with sodium carbonate (10 grams per liter), and
with the addition of 2 per cent. of peptone. At the end of about one
month, the culture being kept at about 37° C., the liquid is filtered
through porcelain. It is indispensable to employ a very virulent
bacillus; it is hence frequently advantageous to increase the virulence
and toxigenic power of the bacilli it is desired to use.
[110] _Annal. de l'Instit. Pasteur_, II, p. 632, and VIII, p. 611.
[111] See SPRONK: _Annal. de l'Instit. Pasteur_, IX, p. 785; _Ibid._,
X, p. 333; MARTIN, _Ibid._, XII, p. 26; SPRONK, _Ibid._, XII, p. 711.
The toxic liquid obtained is exceedingly powerful: 0.1 Cc. kills a
rabbit in forty-eight hours. This toxin is very sensitive to the
effects of heat. When heated to 65° C. it loses almost all its
toxicity; at 70º C. it becomes innocuous; and it only requires to be
heated to 100° C. for fifteen minutes in order to lose all immediate
activity even in large doses. Nevertheless toxins thus weakened are
capable of proving fatal to an animal even after five or six months.
Light, oxygen, ozone and all oxidizers destroy the active principle of
the diphtheria toxin, which is, moreover, rendered almost inactive by
organic acids.
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