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
In order to ensure that it will keep for a long time, care is then
taken to heat the hermetically sealed bottles in a water-bath at a
temperature of 58° C. for one hour, and this operation is repeated for
three days in succession.
Serum prepared in this way preserves its antitoxic power unimpaired
for about two years, _in all climates_. I have had occasion at various
times to receive bottles which had been sent eighteen months and two
years previously to India and Indo-China, and I was able to show
that their standard had not perceptibly deteriorated. It was only the
appearance of the contained liquid that was slightly changed; it was
discoloured, and when shaken small white flakes were seen floating
through it. These flakes are not a sign of deterioration; they are
composed of deposits of precipitated albumin. They can be partly
dissolved again by violent shaking, or they may be separated before use
by filtration through sterilised paper.
In a dry state, antivenomous serum may be kept for an almost indefinite
period, in hermetically sealed glass tubes. In this condition it is
usually divided into doses of 1 gramme, and when it is desired to make
use of it, it is sufficient to dissolve a dose in 10 c.c. of water
which has been boiled and allowed to cool, which takes two or three
minutes. This solution is then injected beneath the skin, as though it
were liquid serum.
The Pasteur Institute at Lille prepares in this way large quantities
of antivenomous serum, which are sent all over the world to those
countries in which poisonous snakes are most dangerous.
Recently, special laboratories for the production of this preparation
have been instituted at Bombay and at Kasauli, in the Punjab, by
Drs. G. Lamb and Semple; at Philadelphia, by Professor McFarland;
at São-Paulo, in Brazil, by Dr. Vital Brazil; and at Sydney, by Dr.
Tidswell.
* * * * *
_Specificity and Polyvalence of Antivenomous Serums._--By means of a
large number of experiments I have proved that snake-venoms, whatever
their origin, contain two principal substances: _neurotoxin_, which
exerts its effects upon the elements of the nervous system, and
_hæmorrhagin_ (Flexner and Noguchi), or _proteolytic diastase_, the
effects of which remain exclusively local when the venom is introduced
subcutaneously into the cellular tissue, but which produces coagulation
of the blood when the venom is injected directly into the blood stream.
The venom of COLUBRIDÆ in general is characterised by the
constant predominence of _neurotoxin_, to which it owes its extreme
toxicity, which is especially intense in the case of cobra-venom. It
contains no, or scarcely any _hæmorrhagin_; for this reason the local
symptoms of poisoning by COLUBRINE venom are almost _nil_.
This _neurotoxin_, as we have seen, shows itself very highly resistant
to heat.
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