Pathological Laboratory of the Montreal General Hospital.
J Exp Med. 1907 Jul 17;9(4):352-80. doi: 10.1084/jem.9.4.352.
The bacillus of glanders may be so modified in virulence as to produce experimentally lesions differing widely in their histological features. The highly virulent culture causes primary necrosis and disintegration of the tissue followed by the invasion of the injured area by polymorphonuclear leucocytes. The bacilli of moderate virulence give rise to a primary lesion of an acute inflammatory nature in which the cells show no evidence of necrosis or disintegration. The attenuated bacilli produce primary tissue proliferation with the formation of epithelioid and giant cells. There is every grade of lesion between the acute exudative and the chronic proliferative depending upon the toxicity of the cultures. The glanders lesion whether exudative or proliferative is focal in character. The strong toxins of the glanders bacilli cause degeneration or necrosis of cells and exudation, while the dilute and weak toxins produce proliferation. The giant cell of glanders undoubtedly originates from the endothelial cell of the blood and lymph channels and is formed by division of the nucleus of the endothelial cell and not by cell fusion. Histologically the lesion of glanders resulting from the culture of a low degree of virulence is proliferative and is analogous to tuberculosis; the lesions are focal and bear an intimate relation to the glanders bacillus.
鼻疽杆菌的毒力可以发生改变,以致于在实验中产生在组织学特征上差异很大的病变。高毒力的培养物引起组织的原发性坏死和崩解,随后多形核白细胞侵入受损区域。中等毒力的细菌引起原发性急性炎症病变,其中细胞没有坏死或崩解的证据。减毒细菌引起组织的原发性增殖,形成上皮样细胞和巨细胞。根据培养物的毒性,病变有从急性渗出到慢性增殖的各种程度。鼻疽病变无论是渗出性还是增殖性,都具有局灶性特征。鼻疽杆菌的强毒素导致细胞变性或坏死和渗出,而稀弱的毒素则导致增殖。鼻疽的巨细胞无疑来源于血液和淋巴通道的内皮细胞,是由内皮细胞核的分裂而不是细胞融合形成的。从低毒力培养物引起的鼻疽病变在组织学上是增殖性的,类似于结核病;病变是局灶性的,与鼻疽杆菌密切相关。