Clinical diagnosis : the bacteriological, chemical, and microscopical evidence of disease . er has been isolated from such pus in combina-tion with hydrochloric The detection of pathogenic fungi in pus is a point of great im-portance. BACILLUS OF SYPHILIS 4°7 2. Tubercle-Bacillus.—The tubercle-bacillus has often been dis-covered in tubercular pus,12 but the author has sometimes failed to findit even in the fresh discharge. Its presence, of course, is conclusive asto the nature of the disease, but its absence does not imply that notubercle is present. It would appear that under certain
Clinical diagnosis : the bacteriological, chemical, and microscopical evidence of disease . er has been isolated from such pus in combina-tion with hydrochloric The detection of pathogenic fungi in pus is a point of great im-portance. BACILLUS OF SYPHILIS 4°7 2. Tubercle-Bacillus.—The tubercle-bacillus has often been dis-covered in tubercular pus,12 but the author has sometimes failed to findit even in the fresh discharge. Its presence, of course, is conclusive asto the nature of the disease, but its absence does not imply that notubercle is present. It would appear that under certain conditions thebacillus rapidly disappears from fresh discharges (Metschni7wff).13 3. Bacillus of Syphilis.—The bacillus discovered by Lustgarten14 inthe pus of syphilis affords a valuable indication of this disease ; butcaution must be observed in identifying it, since Alvarez and Tavel15have shown that certain secretions, as the smegma prseputiale andvulvare, are apt to contain forms which closely resemble the venerealmicrobe. Such forms are to be discriminated by the behaviour of. Fig. 145.—Actinomyces Granules in Glycerine from Actinomycosis of Pleural Cavity(eye-piece II., objective IV., Hartnack). stained preparations in presence of alcohol. In the case of the bacillusof syphilis, these are with difficulty and very slowly bleached by alcohol,whilst the microbe of smegma readily loses its colour under the actionof that substance. An important addition to our knowledge of the bacillus of syphiliswas recently made by Kamen,16 who found the micro-organism in thesputum of a child of nine years. The character of Lustgartens bacillushas been much questioned of late, and others have regarded certaincocci as the specific excitants of syphilis (Kassoivitz, Hochsinger, Disse,Taguchi). For the detection of the bacillus of syphilis Lustgarten u proceeds asfollows :-—The cover-glass preparation is immersed in an Ehrlich-Weigertgentian-violet fluid for 12-24 hours at the ordinar
Size: 1656px × 1509px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., boo, bookcentury1800, bookdecade1890, booksubjectclinicalmedicine
