4. Spirochœte, spiral, but flexible—one species.

Dujardin, in 1841, in his Natural History of the Zoophytes, accepted the

classification of Eherenberg, except that he unites the spirillum and

spirochœte, calling them all spirillum. Up to this time all bacteria had

been considered animals, but a close study of their life history and

habitat by those who followed declared them to belong to the vegetable

kingdom, and as such they are accepted to-day.

In 1853, M. Chas. Robin pointed out the relationship of bacteria to

Leptothrix, a form of fungi closely allied to that of mildew; and M.

Davaine, in 1868, clearly demonstrated their relationship to the

vegetable world. From this time the progress of bacteriological

investigation has made rapid strides. Prof. Pasteur in the organisms of

fermentation and the role they play therein; Davaine and Hallier in

demonstrating the specific relationship of bacteria with charbon or

anthrax; and the work of Koch, Nageli, Kohn, Bilroth, Miguel, Burdon,

Sanderson, Klein, Weigert, Klebs, Ehrlich, Sternberg, and many others,

are too recent to require special mention.

Few have more than the faintest conception of the minuteness of these

organisms. Prof. Cohn, justifying himself for the unscientific method of

comparison which he uses in class instruction by Prof. Tyndall’s

argument on the scientific use of the imagination, says he compares man

to the cheese mite, as the Strasburg cathedral to a sparrow. Of the

animalcules which Leeuwenhoek discovered, they are to man as the bee is

to the horse. As improvements have been made in microscopes, just so

fast have we penetrated into the world of micro-organisms, until now the

proportion between the smallest we can see and man, is as man is to Mont

Blanc.

Of course, with these exceedingly minute structures, nothing can be made

out except points. Among some of the larger forms, a few have been able

to see cellia, and in some cases the growth of the spores; but in the

present state of microscopical optics the work is slow, and progress in

this direction is waiting an advance in the science of optics.

Like all living organisms, bacteria propagate themselves. The most usual

method is by fission or by partition, though Magnin and Cohn have

recorded their observations on the formation of spores and sporangia,

and I have myself witnessed the last named method. It is of importance

to note that while the bacterium is killed by continued exposure to

temperatures of freezing or 176° F., the spores will germinate after

protracted exposure to temperature as high as 205° F. or as low as °123

F. These spores will also withstand complete desiccation, and it is in

this form, mixed with the air we breathe and move in, that present the

conditions from which all zymotic diseases originate. Miguel has shown

that, while the air contains very few adult bacteria, it contains

myriads of their spores. To the researches of Koch, Pasteur, and others,

we are indebted for the certain information that, while these

omnipresent germs withstand such vicissitudes of temperature, they

require certain food for their maintenance; and though we cannot as yet

tell what that food is, we know that when nutrient material is submitted

to their action they thrive for a time, and when the particular

principle which supports them is exhausted they die. This is

particularly true of pathogenic germs, and the accepted theory of the

bacillus tuberculosis, or the germ of consumption, is a good

illustration. It has been demonstrated by Koch, Klein, Pasteur,

Frankell, Sternberg, and others, that they require some product of

inflammatory action for their support within the body of their victim.

This is also true of cholera, at least so far as their dietary

requirements are concerned. The animal cannot be infected with

tuberculosis by merely introducing the germ-laden material into the

stomach or upon any of the mucous membranes; but if an inflammatory

condition be present, either due to the puncture of the introducing

needle or scalpel, or to extraneous causes, such as a catarrhal

condition of the lungs, tuberculosis is as sure to follow as the sun is

to rise again.

The human mind can scarcely comprehend the enormous numbers of these

omnipresent atoms without a resort again to the legitimate use of the

imagination. A computation of the increase from a parent germ shows as

follows: We know that the parent grows until it reaches double its

original size, when it constricts itself in the middle like a figure

eight and breaks into two individuals. Each of these divides again, and,

on account of the rapidity with which this is done, we find them usually

in chains or squares. The warmer the air, the faster this proceeds, and

at the temperature of the body the entire life history of a germ, from

the time of fission of the parent to the time of his own subdivision

into two new individuals occupies less than one hour. This gives us a

known quantity for our problem. Let us look at the result. From a single

germ increasing by the power of two each hour, we have at the end of

twenty-four hours 16,777,220; at the end of two days the number has

increased to 281 billions, and in three days to the enormous number of

48 trillions, and in one week the number can only be expressed by

figures of fifty-places. In order to make this number comprehensible,

let us figure the mass and weight of this, the result of a single

bacterium. A single Bacterium Termo has an average width of 1/1,000 mm.

A cubic mm. would therefore contain six hundred and thirty-three

millions, and in one day would be one-fortieth full. At the end of the

following day there would be required 444,570 such cubes to contain the

product of the parent, or say half a litre. Suppose the seas of the

earth cover two-thirds of its surface with a mean depth of one mile, the

aqueous product would be 929 million miles. Now, our parent germ and its

product would in five days completely fill this space. More wonderful

still is a gravimetric estimation. Suppose we call the specific weight

of the parent germ the same as water, which cannot be far from right, it

would appear that the parent weighs, or his equal bulk of water weighs,

136 millionths of a gramme; in forty-eight hours, 442 grammes; in three

days, nearly 7½ million kilograms; and, inside of thirty days, the

weight of the earth itself.

Prof. Cohn, in offering these figures, says: “I don’t consider this idle

play; without it we can form no conception of not only the enormous

increase, but the tremendous destruction of these germs which is going

on around us. Food is lacking to support more than a comparatively small

proportion of the product of the parent, and, as it is demonstrated that

they feed from their environment, one can readily understand that

without a constant supply a given infectious germ will with its

followers soon destroy its nidus or perish from starvation.”

Our breweries demonstrate the truth of this hypothesis; for, in

twenty-four hours, a single yeast cell, which is 8/1,000 mm. in

diameter, will yield one hundred-weight of yeast.

I have endeavored to present the subject in a condensed but general way

without burdening you with technical details of species, genera or life

history. The subject is a vast one and to which the best minds of the

scientific world are devoting themselves. To those who are or may become

interested in bacteriology and particularly to those who study the

relation of these germs to disease, is held forth the reward which is

sure to come to those who work persistently and intelligently.

The method which I shall employ to-night is eclectic. Doubtless each

investigator will find fault with some parts of the process and perhaps

suggest a better one. The following, however, has in my hands worked

well and given entire satisfaction, so far as I know, to those who were

and are most interested.

The apparatus necessary is as follows:

One two-inch glass funnel.

One package filter papers to fit same.

Four medium size test tubes.

Two glass or porcelain staining glasses.

One glass or agate mortar and pestle.

One cover holder.

One pair pincetts.

One alcohol lamp.

Package of wooden toothpicks.

The cover holder may be easily made by taking a piece of thin platinum,

two inches long and one-eighth wide, splitting one end for half an inch

up and bending into a Y shape, then lashing to a small handle (I use a

match). This little tool is most convenient for floating cover glasses

in staining fluids.

The reagents necessary are as follows:

A five per cent. solution of nitric acid in alcohol (95 per cent.).

Saturated alcoholic solution of fuchsine.

Saturated alcoholic solution of methyl blue.

Small quantity of alcohol, 80 to 95 per cent.

Pure colorless aniline oil (anilin).

The method is as follows:

First pour enough aniline into a test tube to cover the bottom and half

fill with water, shake violently for two minutes, and filter through

funnel, which has previously had wet filter paper fitted. It is

essential that the filter paper be saturated with water, else the

aniline oil will separate during filtration. Our next step is to deposit

specimen of sputum in mortar (if very viscid, add a few drops of water),

and triturate thoroughly in order to break up encapsulated colonies, and

distribute evenly through the specimen.

Now remove an amount which will just cover end of toothpick, and deposit

it on a previously cleaned cover glass, which should not be over 1/100

inch thick, and thinner if possible; immediately cover with another

cover glass, allowing sputum to spread by capillarity or slight

pressure, and separate by sliding apart, and put aside to dry without

heat. I have found that specimens dried without heat (and consequent

coagulation of albumen) will show a much larger number of bacilli than

when heat is used. I believe this is due to the fact that the fuchsine

penetrates more thoroughly through the albumen when not coagulated, or

that when it is coagulated by heat it to a greater or less extent it

protects them from the action of the stain. While the covers are drying

we will pour out a sufficient quantity of the aniline water, which by

this time has filtered into one of the staining glasses, and add one or

two drops (not more) fuchsine solution. Now, placing one of the cover

glasses on our cover holder, sputum side down, we lower it into the

staining fluid and withdraw holder from the side, and repeat the

operation for the other cover glass. It is my habit to allow the covers

to remain in this solution for at least eight hours or over night. The

time may be reduced to ten or fifteen minutes by heating the red stain

to about 140 or 150 F., but the result is not so brilliant, nor is it

sure, as I have frequently failed to find the bacilli by the short

method, but have been able to demonstrate their presence by the long

one.

At the end of either of the above periods of time, the cover glass is

lifted out of the staining solution and, without washing, immersed in

our five per cent. solution of nitric acid and alcohol. It is this part

of the process, if any, which will give trouble, as the time of

immersion is governed by the thickness and general character of the

sputum. My custom is to hold the first cover immersed until the color

has just disappeared, or say fifteen seconds, and the second five

seconds longer; but a very little experience will remove any difficulty

from over-decolorizing.

From the decolorizing solution they are immediately immersed in water

and thoroughly washed, when they may be again floated in the

contra-stain, which is prepared by filling the other staining glass with

water to which a few drops (three or four) of our methyl blue has been

added. They should remain here for from five to eight minutes, when they

are again removed with the pincetts, and a few drops of alcohol poured

over them to wash off the surplus stain. Again wash in clean water, and

dry by gentle heat (which will now do no harm) over the alcohol lamp,

and place sputum side up on table.

A very small drop of thin benzole balsam is now placed in the centre of

each cover, and a cleansed slide gently lowered over one in such a

position that both covers may be mounted on a single slide. As soon as

the slide has been sufficiently lowered to come in contact with the drop

of balsam, it spreads by capillarity, and draws the cover close to the

slide without the slightest danger from air bubbles being engaged, and

the slide may at once be inspected by a _dry_ objective.

I have found it necessary to use an objective at least as high as

one-fifth or one-sixth, with central illumination without diaphragm, as

cases will frequently occur where the staining is so faint, that with a

lower power they will escape observation, though a good, wide angle,

four-tenths inch, will show them well when strongly stained.

I have endeavored to explain the method with perhaps too strict a regard

to detail, but am sure that one who follows the various steps once or

twice cannot fail to acquire the necessary technique without occupying

more than fifteen minutes of working time; that is to say, five minutes

to the first staining, and then the following morning to prepare and

mount for observation.

The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888 · 第 10 / 75 题