Observations in four cases of chronic dysentery non-amebic in nature / by Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1911
Catalogue details

Licence: In copyright

Credit: Observations in four cases of chronic dysentery non-amebic in nature / by Anthony Bassler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    6/10 (page 4)
    normal, excepting slight albuminuria, uric acid i.i gram, total sulphates 2.4 grams (preformed 2.09 grams, conjugate .31 gram), indican high; stomach contents normal (mixed test-meal used) ; feces* semifluid with blood-streaked mucus, acid reaction, many meat fibres and albumin loss above normal, putrefaction gas result low, bacteria 41 per cent of stool and Gram differential stained slides of the raw feces showed mostly negative organisms of the colon type, all of the negative bacteria being about 72 per cent, of the two types. The report of the above case answers for the other three also, all of which were in men, with these notable differences. Ages, 37, 44 and 45. One had had typhoid fever seven years before the dysentery history began. In one the dysentery was of four years’ standing, the next five and a half, and the third eleven years, all having periods of re- mission during its course. In one the blood exam- ination showed a more decided anemia, although in the other two it was nearer to normal, one, how- ever, having a leucocyte count of 9,750. One had a mitral blow, probably organic, with slight cardiac hypertrophy. All were emaciated, and had the characteristic urine and feces described. The reason of the observations in these cases was to note if possible whether there was anything dis- tinctive in the character of the organisms predom- inant in the intestinal canal of the cases—which ap- parently were of the colon group. For this pur- pose loops of the mucus adherent to the upper rec- tum and sigmoid and scrapings of the ulcer bases were used in the examinations and the inoculating material in the culture work. In each instance it was evident that the B. coli communis was the infecting organism, the mucus