. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. to which it bears a close morpho-logical resemblance, especially theBacillus coli communis, with which itis liable to be confounded. Theseorganisms colonize with preference inthe lymphoid tissues. They are dis-tributed in recent infection in thesolitary follicles and Beyers patchesof the intestines, in the mesentericglands, spleen, bone-marrow, liver, andin the bile. They have been isolatedfrom foci of suppuration in variousparts of the body, from meningeal and pleural exudates and
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. to which it bears a close morpho-logical resemblance, especially theBacillus coli communis, with which itis liable to be confounded. Theseorganisms colonize with preference inthe lymphoid tissues. They are dis-tributed in recent infection in thesolitary follicles and Beyers patchesof the intestines, in the mesentericglands, spleen, bone-marrow, liver, andin the bile. They have been isolatedfrom foci of suppuration in variousparts of the body, from meningeal and pleural exudates and vegetationsupon the endocardium. Their presence in the blood and rose spots maybe demonstrated. In the course of the second week and afterward theyhave been isolated by culture methods from the stools. They are metwith in the urine and sputum and have in a few instances been foundin the sweat. Outside the body typhoid bacilli retain their vitality in water, snow,ice, the superficial layers of the soil, dust, and in faeces for periods varyingfrom several days to many months. In milk they undergo rapid growth. Fig. 206.—Bacillus typhosus. ENTERIC OH TYrilOlD FEVER. 3 withoutehanfjinfr its appeai-jiiuc. Ihey retain their vitality for three monthsin sour Miilk and toi- shorti-i periods in butler iriade from infected ( infectiuii- pi-iiicipU is dischar^^ed Irom the hody of tlie patient in theurine and especially in the faces. Its conveyance by ineans of water, milk,or other aiticles of food cont< by such tlischar{^es in conscfjuence offaulty sanitation is the source of the sporadic, endemic, and epidemic preva-lence of the disease. KnteiMc fever is not conta^^ious in the or-dinary sense,when the introduction of bacilli-containinj^f dejecta or secretions does nottiike place. Infected water is the ordinary means of transmission, l^y this meansthe infection of milk, uncooked vegetables, salads, oysters, and clams also nuiy become infected when kep
Size: 1587px × 1575px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
