On the value of the bacteriological diagnosis of asiatic cholera / by Sheridan Delépine.

  • Delépine, Sheridan, 1855-1921.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: On the value of the bacteriological diagnosis of asiatic cholera / by Sheridan Delépine. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    (i small numbers and difficult to find in 24, and absent in 45 In the 45 cases m which no comma bacillus was foSnd the bacterium coh commune was found alone in 15: associated with staphylococci, streptococci, or rarely the B. pyocyaneus Protective inoculation might be said to have some bearing on the question of diagnosis, but the evidence obtained bf MffTrH °P£n'&?' GamaleYa, Haffkine, Klemperer, Klein Metchnikoff, Pawlowsky, and Buchstab, etc., is of a native which does not encourage reliance on such a method of diagnosis at the present time. OI Genebal Conclusions. ^^ough I am fully aware of the objections which Koch might offer and has indeed offered, to some of the observa tions related above it seems to me that the following con- clusions can hardly be avoided:— B f n'^U53 a!£et impossible to speak dogmatically of the in- fallibility of the bacteriological diagnosis of cholera Asiatica. 1 e more recent observations point to the import- ance oi the contamination of water and soil with dejecta as a cause of outbreaks of cholera similar to Indian cholera 3. These recent observations undoubtedly lend much sup- port to the locahstic views of Cunningham and of Petten- kofer, though in their details these views may have to be modified. NOTE.—It is evident that until it is possible to speak more positively the bacteriological examination will have to be conducted with even more care than it has been hitherto, as only in this way will it be possible to remove all the doubts that remain. yvaaiuia Refebences. i Koch,.Semaine Medicate, May 31st, 1893, p. 265. * Medical Chronicle 1893, xyin, p. 323. Regarding this see also Klemperer, Medical Chro- nicle, xix, p. 37. 3 Loc. cit. * Koch, The Etiology of Cholera, Microparasites m Disease, New Sydenham Society, p. 329. = Zeitschrifl fur Hygiene und Intectwns-Krankheiten, vol. xiv, No. 2,1893; Semaine Medicate, May, 1893 p. 268; Practitioner, 1893, vol. 11, p. 471; Beitish Medical Jouenal' June 17th, 1893. « Semaine Medicate, 1893, p. 267. 7 Scientific Memoirs by the Medical Officer, etc., Calcutta, 1891. » Annates de I'Institut Pasteur, 1893 p. 554. 9 Annates de I'Institut Pasteur, 1893, p. 562. i° Zeitschr. f. Hyq 1887: Annates de I'Institut Pasteur, 1888, pp. 30-45: regarding the cholera red reaction, see Jadassohn, ibid, 1888, p. 44. u Annates de I'Institut Pasteur October, 1893, p. 689. ™ Ibid., p. 693. Hygienische Rundschau, August, 1893. 14 Annates de I'Institut Pasteur, 1893, p. 562. 15 Deut. med. Woch., 1893, p. 160. 18 Annates de I'Institut Pasteur, January 25th, 1893, p. 18.