Bacteriological and clinical studies of the diarrheal diseases of infancy : with reference to the bacillus dysenteriæ (shiga) from the Rockefeller Institute for Medical Research / edited by Simon Flexner and L. Emmett Holt.
- Date:
- 1904
Licence: Public Domain Mark
Credit: Bacteriological and clinical studies of the diarrheal diseases of infancy : with reference to the bacillus dysenteriæ (shiga) from the Rockefeller Institute for Medical Research / edited by Simon Flexner and L. Emmett Holt. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
18/214 (page 14)
![Case XX.—Lavine. Abundant, greenish, mucous stool; no fecal matter. Small number of colonies of dysentery bacillus. Case XXI.—Love. Thick, yellowish-green stool showing blood-stained mucus. From the plates B. coli, B. proteus and B. dysenteric? isolated. All tested with patient's blood and only the last reacted positively. Case XXII.—Proser. The specimen examined consisted of a muco-fecal stool containing a few flecks of blood. The result was positive. This child died later, but an autopsy was not permitted. However, by passing the rectal tube and scraping the mucosa a small quantity of blood-stained material was secured from which B. dysenteries was obtained. Case XXIII.—Walsh. In the abundant mucous stool a few small collections of pus cells occurred; result positive. Some twelve days later a second exami- nation of a semi-fluid, muco-fecal stool was made with negative results. The child died five days after the second examination and an autopsy was made eight hours after death. The lymphatic nodes of the cecum were swollen and the mucosa over them pitted; the mucosa of the transverse eclon showed numerous small, round ulcers occurring as pits in the enlarged solitary nodes ; the mucosa of the descending colon was thickened but intact. The contents of the large intestine were muco-pus, blood being absent. The bacteriological examination gave B. coli, B. lactis acrogenes. Strepto- coccus pyogenes, and B. dysenteric ; the last was obtained from the intestine only; the others from additional organs, such as the liver and mesenteric glands. This case was instructive in that on some of the plates B. dysenteric came out very late. Case XXII'.—O'Donnell. The specimen examined had a bad odcr, consisted chiefly of feces and mucus and showed a few patches of blood-stained mucus. Using the bloody areas ten of the twelve transplantations to glucose agar proved to be B. dysenterice. The next stool contained mere blood; 27 out of 28 trans- plants were dysentery bacilli. Case XXV.—Rea. Stool muco-fecal; no blood. Eight of 30 tubes trans- planted positive for B. dysenterice. It is to be noted that the blood in this case failed to give the agglutination test, although tried several times. Case XX]'I.—Tucker. Small greenish, purulent, blood-flecked stool. Sev- eral examinations were required to discover the organism, which was finally found in very small numbers. Case XXI'II.—Golman. The first stool was chiefly fecal; very few dysentery bacilli. The second stool examined three days later was muco-purulent and con- tained blood. Many dysentery bacilli found. A third stool gave good results. The child died and an autopsy was refused. The mucosa of the lower gut was curetted and from this material many colonies of B. dysenterice developed. The plates in this case contained many colonies of a bacillus which agreed culturally with B. pyocyaneus. Case XXVIII.—Stevens. Stools contained mucus, but little blood. Results were positive in 26 of the 37 glucose-agar tubes inoculated. Case XXIX.—Macomber. Specimen abundant, greenish, showing mucus and some purulent foci and bloody mottling. Results positive for dysentery bacilli which were present in large numbers. Case XXX.—Gerhardt. Muco-fecal stool without blood. Of 36 colonies transplanted, 14 proved to be B. dysenteric](https://iiif.wellcomecollection.org/image/b21222393_0018.jp2/full/800%2C/0/default.jpg)
