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实验性鼠咬热:首次报告。

EXPERIMENTAL RAT-BITE FEVER : FIRST REPORT.

机构信息

Imperial Institute for Infectious Diseases, Tokyo, Japan.

出版信息

J Exp Med. 1917 Jan 1;25(1):45-64. doi: 10.1084/jem.25.1.45.

Abstract
  1. We have confirmed Ogata's results in experimental rat-bite fever caused by the bite of rats. 2. In our experiments with guinea pigs, swelling and congestion of the bitten parts, swelling of the subcutaneous lymph nodes, fever, and loss of weight were the typical symptoms. The progress of the fever was not so regular as in human cases, but we find records in the literature of patients who showed irregular fever types or were afebrile. The chief points that we noted in the anatomical view of the guinea pigs were swelling and congestion of the lymph gland system and acute changes in the adrenals and kidneys. 3. If an emulsion made from the lymph glands, cerebral substance, or the adrenals, or the heart's blood of a guinea pig of the original generation is inoculated subcutaneously or intraperitoneally into a fresh guinea pig, the animal invariably dies with the usual symptoms of fever and swelling of the lymph glands. The anatomical changes in this case were the same as those of the original guinea pig, except that the course was shorter and more regular. The same result was observed in further generations. No change was observed in pathogenicity, and in the guinea pigs of the original and further generations a species of spirochete as the causative agent was always observed. The incubation period in the original generation was from 1 to 2 weeks, and in further generations about 1 week. 4. When a mouse or white rat was inoculated, spirochetes always appeared in the peripheral blood, but no other symptoms developed. When peripheral blood drawn from a mouse thus treated was inoculated into a fresh mouse or a fresh white rat and peripheral blood drawn from the mouse and rat was inoculated into a fresh guinea pig, they all became infected and the guinea pigs always died. Thus we found that rats and mice are media but not victims of the disease, while guinea pigs are both media and victims of it. 5. In the rhesus monkey on which we made our experiment we witnessed a process similar to that of human rat-bite fever, and our spirochotes were observed in other animals into which blood drawn from the monkey was inoculated. 6. In the original animals spirochetes were seen chiefly toward the end of the process and the conditions as to the period previous to it are not yet clearly known. In further generations of all the animals we used, spirochetes were found in the peripheral blood 4 or 5 days after inoculation, and gradually multiplied until the greates number was reached about the 10th day after inoculation. They then began to decrease; yet spirochetes could be observed over 2 months later. 7. We have found spirochetes chiefly in the adrenals of the animals by Levaditi's method, but have not yet ascertained their distribution in other organs. 8. Our spirochete is short, round, and highly motile; it stains readily, and has few spirals. We have not yet observed an undulating membrane, but have seen what we believe to be flagellum at each end. 9. The identification of our spirochete with other species must be left for further study. The spirochete which Futaki, Takaki, Taniguchi, and Osumi found in two patients with rat-bite fever, seems to differ from ours in form. 10. Spirochetes disappear from the blood of the animals as a result of the injection of salvarsan, thus indicating that the spirochete is arsentropic.
摘要
  1. 我们已经证实了 Ogata 在由老鼠咬伤引起的实验性鼠咬热中得到的结果。

  2. 在我们用豚鼠进行的实验中,咬伤部位的肿胀和充血、皮下淋巴结肿大、发热和体重减轻是典型症状。发热的进展不像人类病例那样规律,但我们在文献中发现了显示不规则发热类型或无热的患者的记录。我们在豚鼠解剖视图中注意到的要点是淋巴结系统的肿胀和充血以及肾上腺和肾脏的急性变化。

  3. 如果将来自原始一代豚鼠的淋巴结、脑物质或肾上腺的乳剂,或心脏血液皮下或腹膜内接种到新鲜豚鼠中,动物总是会出现通常的发热和淋巴结肿大的症状。在这种情况下,解剖变化与原始豚鼠相同,只是病程较短且更规律。在进一步的几代中观察到相同的结果。在致病性方面没有观察到变化,在原始和进一步的几代豚鼠中,总是观察到一种作为病原体的螺旋体。在原始一代的潜伏期为 1 至 2 周,在进一步的几代中约为 1 周。

  4. 当接种小鼠或白色大鼠时,螺旋体总是出现在外周血液中,但没有出现其他症状。当从如此处理的小鼠中取出外周血液并将其接种到新鲜的小鼠或大鼠中,并且从小鼠和大鼠中取出外周血液并将其接种到新鲜的豚鼠中时,它们都被感染,豚鼠总是死亡。因此,我们发现老鼠和大鼠是媒介,但不是疾病的受害者,而豚鼠既是媒介又是受害者。

  5. 在我们进行实验的恒河猴上,我们观察到类似于人类鼠咬热的过程,并且我们的螺旋体在其他被注入猴子血液的动物中也被观察到。

  6. 在原始动物中,螺旋体主要在病程结束时出现,而在此之前的情况尚不清楚。在我们使用的所有动物的进一步几代中,在接种后 4 或 5 天即可在外周血液中发现螺旋体,并逐渐繁殖,直到接种后第 10 天达到最大数量。然后它们开始减少;然而,2 个月后仍能观察到螺旋体。

  7. 我们通过 Levaditi 方法主要在动物的肾上腺中发现了螺旋体,但尚未确定它们在其他器官中的分布。

  8. 我们的螺旋体短而圆,运动能力强;它易于染色,螺旋较少。我们尚未观察到波动膜,但在每个末端都看到了我们认为是鞭毛的东西。

  9. 我们的螺旋体与其他物种的鉴定必须留待进一步研究。Futaki、Takaki、Taniguchi 和 Osumi 在两名患有鼠咬热的患者中发现的螺旋体,在形态上似乎与我们的不同。

  10. 动物血液中的螺旋体因注射砷凡纳明而消失,这表明螺旋体是砷变应原。

相似文献

1
EXPERIMENTAL RAT-BITE FEVER : FIRST REPORT.实验性鼠咬热:首次报告。
J Exp Med. 1917 Jan 1;25(1):45-64. doi: 10.1084/jem.25.1.45.
4
THE ETIOLOGY OF RAT-BITE FEVER.鼠咬热的病因。
J Exp Med. 1916 Jan 1;23(1):39-60. doi: 10.1084/jem.23.1.39.
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EXPERIMENTAL STUDIES ON YELLOW FEVER IN NORTHERN PERU.秘鲁北部黄热病的实验研究。
J Exp Med. 1921 Jan 31;33(2):239-52. doi: 10.1084/jem.33.2.239.

本文引用的文献

1
THE ETIOLOGY OF RAT-BITE FEVER.鼠咬热的病因。
J Exp Med. 1916 Jan 1;23(1):39-60. doi: 10.1084/jem.23.1.39.

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