On Sart sore / by P.F. Borovsky.

  • Borovsky, P. F. (Petr Fokich), 1863-1932.
Date:
1938
Catalogue details

Licence: Public Domain Mark

Credit: On Sart sore / by P.F. Borovsky. Source: Wellcome Collection.

    5/36 page 79
    - CECIL A. HOARE. iv HEIDENREICH® says: “‘ if the end of a platinum wire is introduced into the fluid issuing from a scab subjected to pressure, and if a stab is made with this infected wire into sterile [utrient gelatin]‘ in a sterile test-tube it is sometimes possible, after several days, to obtain a culture of a special micrococcus.” In view of this statement one can understand the scepticism regarding the “ micrococcus Biskra, DucLAUXx et HEIDENREICH,”’ especially since RAPTSCHEWSKY has obtained different results in his investigation. On account of the controversy regarding the aetiology of “‘ oriental sore,” and with the object of ascertaining whether Sart sore is identical with Pendeh sore, we undertook at the end of 1894 a bacteriological and anatomico-pathological investigation. The material for the investigation was provided partly by hospital patients and partly by out-patients. Most of the cases selected were in the early period,7z.e.in the non-ulcerating stage, the importance of which was rightly pointed out by RAPTSCHEWSKY. material. Frequently several months would elapse before a single suitable case was encountered, and this was due not so much to the rareness of the disease as to the fact that patients in the first period of the disease pay little attention to it, since at the beginning it causes no discomfort, and therefore in most cases they 2pply for assistance ony ue the period of ulceration. `ТНЕ CLINICAL COURSE OF SART SORE. In the initial phase of its development Sart sore appears in the form of a nodule elevated above the surface of the skin and perceptible both to the eye and to the touch. The nodule, which is of a dark red hue, passes imper- ceptibly into the healthy tissue of the skin. Palpation is not painful ; the patient feels no discomfort, except a slight itching, and even this is not always experi- enced. After 10 to 20 days (we have not seen any earlier cases) there appears in the centre of the nodule a slight depression covered by a grayish, firmly adherent crust. On removal of this a small opening is revealed discharging a to ulcerate, starting from the centre, while an infiltration spreads into the sur- rounding healthy tissues. When kept clean and in the absence of external irritation the nodule nes a bluish tint and its surface becomes: considerably desquamated. Sometimes in the infiltrated area of the skin the papillae begin to proliferate and the surtace becomes covered with numerous .minute papillae. The papillae are more defined in the centre, diminishing towards the periphery, while at the edge the of Bye: ва HEIDENREICH : `РепаеВ Sore (Tropical Sore). Attacks, cause, identification, : Pasteur, 3, 1889, 445.)] ’ 4TIn the original only the initials, indicating‘ еси реет, are given.—C.A.H.]
    digitised image 1
    digitised image 2
    digitised image 3