found to exist in the diseased person, and by the induction of the same disease in man or healthy animals by inoculation, with a reproduction of bacteria. The first discovery of the association of a germ with disease was by Pollender, in 1849, who found certain rodlets in the blood of animals suffering with splenic fever, also variously known as anthrax, charbon, miltzbrand, malignant pustule, and wool-sorters' disease. The specific character of the parasite was afterward pointed out by Davaine (1863), and subsequently carefully investigated and confirmed by Pasteur and Koch. The bacillus can be isolated and developed in proper cultivating media, and when inoculated into some animals will produce splenic fever. Again, in 1873, Obermeyer, of Berlin, discovered a bacterium in the blood of patients suffering from relapsing fever, which has been named Spirillum Obermeyeri. found only during the febrile paroxysm, disappearing during the interval. So far, attempts at cultivation have proved unsuccessful. In March, 1882, Koch, of Berlin, announced the discov ery of the bacillus tuberculosis, which he asserted to be the exciting cause of tuberculosis. His results have been confirmed by many observers, and the bacilli have been found In the tubercles and sputa of persons suffering from phthisis. As you all know, they reproduce themselves when cultivated under proper conditions, and cause tuberculosis when inoculated into animals. The discovery of the parasitic origin of glanders followed closely upon that of the bacillus of tuberculosis. This was also made in Koch's laboratory by Prof. Shultz and Dr. Loeffler; and the results were verified by pure cultures and inoculations. Birch-Hirschfeld has confirmed the discovery of the presence of a micro-organism of syphilis, already announced by Aufrecht, which consists of oval-shaped micrococci in chains. In gonorrhoea a micrococcus was discovered by Neisser, isolated, cultivated, and, it is reported, successfully inoculated. Bacteria have also been found in malaria and whoopingcough. A micrococcus has also been found associated with croupous pneumonia, by Friedlander. This may occur singly, but is generally found as a diplococcus. Von Recklinghausen first described the bacteria of typhoid fever; and Klebs, in 1881, described a large bacillus, which he calls B. Typhosus, in which spores are formed in the center, and often at the end. This is carried by the blood and lymphatics, and is found in all the organs. It is more generally believed, however, that the causa morbi is a peculiar short bacillus discovered by Eberth. This is rounded at both ends, and has spores. It is found in the ulcers, mesenteric glands and spleen; and has been cultivated by Gaffky. The inoculation of animals has not been successful; but it must be remembered that they do not have the disease spontaneously. The Micrococcus Vaccine is very small, only half the thousandth of a millimetre in diameter, and is found isolated or in pairs, and when cultivated forms chaplets. Cohn regards M. Vaccine and M. Variola as different races of the same species, but Magnin thinks them identical. In vaccinia they are found in the lymph of the vesicle, and in its borders in the rete malpighi, and were subsequently traced into the subjacent cutis, especially in the lymphatic spaces. The multiplication and extension coincides with the development of the pustule. In variola, Chauveau (1868) first proved a particular non-diffusable active principle; and Cohn (1872) first proved that the lymph contains numerous micrococci. I have myself cultivated the M. Vaccine into the third generation in liquid media, the first inoculation being made directly from the lymph of the vesicles on a calf at Dr. Martin's stables in Roxbury; but limited experiments failed to produce characteristic vesicles on babies vaccinated from these cultures. The comma baccillus of cholera (Koch, 1883) has of late attracted much attention. They are found chiefly in the excreta of cholera patients, are slightly curved like a comma or half of the letter U, and occur singly or in pairs like the letter S; when their growth is retarded they form a spiral chain of several members. They are easily cultivated on nutrient gelatine, forming a growth easily distinguished from others, even from those which are morphologically similar, viz., the so-called cholera nostras, comma bacillus of Finkler and Prior, the mouth comma of Miller and the cheese comma of Deneke. After much experimentation Koch has succeeded in inoculating animals. The bacilli require an alkaline medium for their growth; so he injects with a catheter, carbonate of soda into the stomach of guinea pigs, to neutralize the acid of the gastric juice. Then he injects a considerable quantity of a solution containing the comma bacilli. Even this is not sufficient; for they pass through the intestines so quickly that they do not proliferate, and therefore he injects into the peritoneal cavity tincture of opium sufficient to paralyze the intestines and stupefy the animal for some time. About half of the animals so treated die in from twelve to twenty-four hours, and a nearly pure culture of comma bacilli is found in the intestines. In scarlet fever Coze and Feltz have found micrococci in the blood, and inoculation of rabbits sometimes produced death; but it is not certain that it was due to scarlatina. Polae Pineas found very minute micrococci on the scales of desquamating epithelium; and in the throat discharge. In acute infectious osteomyelitis a peculiar micrococcus is found, which is easily cultivated, and, when rabbits are inoculated, and their bones broken, abscesses form containing micrococci. In measles Coze and Feltz found bacteria in the blood which were minute and mobile. The rabbits were not killed. Braidwood and Vacher caused children with measles to breathe through glass tubes coated with glycerine, and found sparkling bodies, something like those in vaccinia, but larger. These were most abundant during the second and third days. They also found them in the lungs and livers of two children who had died of the disease. The individuals of the streptococci of erysipelas are smaller than the micrococci of vaccinia. Lukoinsky found them in zoöglea masses in the lymphatics, on the border of the erysipelatous zone. Fehleisen also found and cultivated them. He inoculated the ears of nine rabbits, and produced the characteristic rash in from thirty six to forty-eight hours; the animals did not die. He also produced typical erysipelas, in from fifteen to sixty hours, in men who were inoculated to produce beneficial results in tumors. I have also cultivated them in liquid media. Septicæmia and pyæmia have been carefully investigated by Koch, and these diseases have been found due to bacteria, which he has cultivated and inoculated. In diphtheria, micrococci are found in the membrane and in the surrounding lymphatics, blood, kidneys and muscles. They are about the size of M. Vaccine, slightly oval, single or in pairs and in colonies. Eberth showed the particulate character by filtration. Klebs claims to have produced diphtheria from inoculation of pure cultures, and to have found micrococci in the tissues and blood. Nasiloff inoculated the cornea with enormous multiplication of microorganisms in the lymphatics of the palate, bones and cartilages, and says that they are the primary steps. With the diphtheria micrococcus I have had a personal experience. Some membrane was secured from the throat of a child during the operation of tracheotomy to relieve stenosis caused by diphtheria, and with it one of my hermetically sealed culture bulbs (made after Sternberg) filled with a sterilized nutrient fluid, was inoculated. On the fourth day the liquid, previously clear, became turbid, and on examination with the microscope at about 1000 diameters it was found swarming with micrococci in active motion about the size of the micrococcus of pus. In form they were slightly elongated, and although found singly, were generally found in groups of three or four to eight or twelve. A second bulb was inoculated with a fraction of a drop from the first; it became turbid on the third day, and was found to contain a micro-organism identical with the former. In this way about fifty bulbs were used, and the cultivation was carried through ten generations, each bulb becoming turbid on the third day, and the micrococci breeding true. With the contents of one of the bulbs containing the sixth cultivated generation of the micrococci, six guinea pigs were inoculated in the cornea of the eye. One of them died about thirty hours later with symptoms of blood poisoning, but the rest survived. The eyes became very sore, the lids being much swollen and oedematous, and a membrane developed over the cornea. There was profuse discharge, which contained abundant micrococci. Three pigs were killed on the third day, and the eyes dissected for examination. The others were allowed to get well, but the eyes were completely destroyed. In the aqueous humor and in the corner of the eyes examined were found minute, highly refractive particles of uniform size, presumably micrococci. On the third day after killing the guinea pigs, I myself had a sore throat, and in twelve hours a large diphtheritic membrane had developed on the left tonsil, accompanied with high fever and constitutional symptoms. The disease ran a typical course, and convalescence was slow. Here, then, we have the chain of events complete. A fatal case of diphtheria, from which the germs were cultivated in pure cultures through ten generations, and the inoculation of the animals from which the experimenter himself contracted the disease, with development of membrane containing inicrococci, which reproduced themselves in cultures. The question as to the origin of life has been much disputed, and the exponents of spontaneous generation and of the germ theory still continue the contest. Extremists in the doctrine of evolution can not sustain the hypothesis that the whole system of animal life is but a growth of one or more original species, changing into or evolving others through methods of development. The long ages of the past show the universality of the law of life, that like produces like. Neither the agnostic nor the materialist can account for the origin of matter, much less can they account for the origin of mind. Naturalists tell us, that while the animal and vegetable kingdoms are reducible to primoidal cells; that while there is a time when the embryos of species can not be distinguished from each other by any essential features, yet the variety of structural forms, and the diversity of physiological functions which cells develop, are always according to the special type and construction of their parent cells, evidencing a unity of plan in their construction and development.-Journal. San Francisco Microscopical Society. Reported for the MEDICAL NEWS by C. P. Bates, Recording Secretary. THE regular meeting of the San Francisco Microscopical Society was held April 24, 1889, at its rooms, 120 Sutter Street, President Payzant presiding. A fine series of photographs was exhibited, containing some graphic enlargements on the new Eastman bromide paper. This process of enlarging on bromide paper, though quite recent, is very popular and produces excellent results, the effect, when exposure and negatives are properly manipulated, being almost equal to steel engraving. Examples were shown of Pleurosigma Angulatum the negatives of which were taken at a magnification of sixteen hundred diameters. The bromide process commends itself to those interested in photo-micography by its simplicity compared with the tedious work of printing from silver paper. The donations to the library included a very satisfactory résumé of the progress of microscopical inve: tigation both at home and abroad. |