Venoms: Venomous Animals and Antivenomous Serum-therapeuticsCalmette, A. (Albert)
Science
Venoms: Venomous Animals and Antivenomous Serum-therapeutics
Calmette, A. (Albert)
Antitoxins; Poisonous snakes; Toxins; Venom
The liver is more affected than any other organ. In cases in which
death has quickly followed the injection of the venom, the protoplasm
of the cells is merely cloudy, or granular, and the granulations
readily take a stain in their periphery, though the interior remains
uncoloured. If, on the contrary, the animal has survived for some
hours, the protoplasm becomes condensed in certain parts of the cell,
leaving vacuoles, the limits of which are not well defined. A portion
of the cellular protoplasm is necrosed and destroyed. In these cases
the nuclei have already undergone a change; although their contours
may be well defined, we discover in their interior only a very little
chromatin in the form of small granulations, and the nuclear fluid
takes a feeble stain with basic colours, since it contains a little
chromatin in solution.
When the protoplasm of the hepatic cells has suffered more pronounced
lesions, the changes in the nuclei are also more marked; the quantity
of nuclear chromatin diminishes and slowly loses its property of taking
stains, in proportion as the protoplasm of the hepatic cells undergoes
necrosis; finally, in the hepatic cell, there remains nothing more than
a small quantity of granular protoplasm without a nucleus (Nowak).
In certain cases we find extensive areas of fatty degeneration, or
small foci in which the hepatic tissue is absolutely destroyed. In the
case of the dog it may even happen that the microscopic structure of
the parenchyma has entirely disappeared. The arrangement of the hepatic
cells in lobules can no longer be distinguished; the trabeculæ are
ruptured and broken asunder, and we find nothing more than a confused
agglomeration of cells floating in the extravasated blood.
In animals which have lived for a long time after being poisoned,
lesions of the bile-ducts are also found. The epithelial cells have
undergone fatty degeneration, or else, in the case of small animals,
the ducts appear infiltrated with small mononuclear cells, which
penetrate between the epithelial cells of the canaliculi. Sometimes
also the latter cells are distended, and enclose large vacuoles.
Venom thus produces in the liver lesions of _fatty degeneration_, or
_necrosis_, and an infiltration of the bile-ducts by lymphatic cells.
(2) ACTION UPON THE KIDNEY.
The changes in the kidney are also very extensive. The three portions
of the glomerulus often exhibit lesions; the vessels of the tuft
show ectasia; their walls are sometimes ruptured, and the blood is
extravasated into the capsular cavity. The latter is filled with a
granular exudation, which varies in amount with the slowness of the
intoxication. The epithelial lining of _Bowman’s capsule_ is swollen;
the nucleus stains badly (Vaillant-Hovius).
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