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 serum drawn off at each bleeding must be severely tested, which is
done by gauging its antitoxic power _in vitro_, when mixed with venom,
and also its preventive effect.
An antivenomous serum may be considered to be utilisable when a mixture
of 1 c.c. of serum with 0·001 gramme of cobra-venom produces no
intoxicating effect in the rabbit, and when a preventive subcutaneous
injection of 2 c.c. of serum into a rabbit of about 2 kilogrammes
enables it to resist, two hours later, subcutaneous inoculation with 1
milligramme of venom.
The _preventive power_ may be very quickly tested by injecting a
rabbit, _in the marginal vein of the right ear_ for example, with
2 c.c. of serum, and injecting, _five minutes afterwards_, _in the
marginal vein of the left ear_, 8 milligramme of venom. This dose of
1 milligramme generally kills the control rabbits in less than thirty
minutes when introduced into the veins, and in from two to three hours
when injected beneath the skin.
This rapid proof by _intravenous injection_ is extremely striking and
demonstrative; it can be effected in public during a class or lecture
in less than an hour, and enables an immediate estimate to be formed
of the value of an antivenomous serum. When it is intended to adopt
this method, it is essential to make use of a recent solution of venom,
for solutions from a week to a fortnight old, although sterile, have
already lost a large portion of their toxicity, and, if these be
employed, the dose of venom calculated to kill the control animals in
thirty minutes, for example, takes an hour or more to do so.
I always prepare my test solutions of venom in the following manner:--
Ten milligrammes of dry cobra-venom are weighed in a delicate balance.
The venom is dissolved in 10 c.c. of 0·8 per cent. physiological salt
solution, which takes a few minutes. When the venom is thoroughly
dissolved it is transferred to a test-tube, which is immersed for
three-quarters of an hour in a water-bath heated to + 72° C. In
this way the non-toxic albumins are coagulated without modifying
the neurotoxic substance. The solution is poured on to a filter
of sterilised paper, and the clear liquid which is collected is
immediately put up in glass phials, which are hermetically sealed,
or in small sterilised bottles. Its toxicity is tested upon control
animals, and it may be kept for five or six days if protected from
light, or for several weeks in a refrigerator at about 0° C.
_One-tenth of this solution corresponds exactly to 1 milligramme of dry
venom._
As for the antivenomous serum, as soon as its antitoxic value has been
ascertained by the methods that I have just described, and it has
been separated from clots and red corpuscles by suitable decantation,
it is portioned out, with the usual aseptic precautions, into small
sterilised bottles of 10 c.c. capacity, without the addition of any
antiseptic.
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