Department of Animal Pathology of The Rockefeller Institute for Medical Research, Princeton, N. J.
J Exp Med. 1920 Nov 30;32(6):683-9. doi: 10.1084/jem.32.6.683.
The data bearing on these three cases are quite sufficient to rule out Bacillus abortus as the agent. Not only the cultures and guinea pig tests of fetal tissues and contents of the digestive tract, but also the agglutination and guinea pig tests of the milk, were negative. The same is true of the agglutination tests of the blood serum. Only in one case was the placenta obtained in part. The stained films and the sections from various regions showed no abortion bacilli. Guinea pig tests of placental tissue were negative for Bacillus abortus. On the other hand) minute organisms resembling vibrios were detected in the cytoplasm of endothelial cells within capillaries in the edematous subchorionic tissue. Subsequently the agglutination titer of the blood serum of one of these cases rose to a level indicating infection with Bacillus abortus during the second pregnancy. The peculiar distribution of abortions due to Vibrio fetus among older cows and heifers in this herd, resulting at first in cases among older cows and latterly passing to young stock, may be explained by certain occurrences in the herd itself. It may be assumed that the infection was originally brought in by purchased cows. The young stock is kept segregated from these in a special barn, and when 6 months old it is pastured on outlying farms until returned in an advanced stage of pregnancy. The heifers during the first pregnancy were thus kept away from vibrio carriers until after the first calf was born. In June and July, 1919, 55 older cows, purchased and native, were placed on the young stock pasture. The three cases of abortion in heifers due to Vibrio fetus occurred October 24, November 9, and December 2, 1919. The age and condition of the fetuses accord very well with the assumption that Vibrio fetus was introduced among the young stock in June or July of the same year. The information gathered thus far concerning vibrionic abortion in this herd enables us to formulate a tentative hypothesis subject to modification with increasing knowledge of this type of infectious abortion. The infectious agent was probably introduced by purchased cows in 1917 or earlier. It gained a certain headway up to 1919, then the number of cases declined so that between May, 1919, and May, 1920, only the above three cases in heifers, and one case of mixed infection with Bacillus abortus in an older cow, were detected. During the same period cases due to Bacillus abortus continued undiminished. The greater resistance of Bacillus abortus manifested in cultures as compared with Vibrio fetus is thus reflected in its behavior in nature. The temporary dying out of the infection indicates that natural immunization of a herd to Vibrio fetus proceeds quite rapidly. Another outbreak may be expected when the immunity of the herd has declined in the absence of the infecting agent and the latter is reintroduced from without, or it may reappear at any time when a vibrio of higher virulence is brought in.
这三个病例的资料足以排除流产布氏杆菌为致病因子。不仅胎儿组织和消化道内容物的培养和豚鼠试验,而且奶的凝集和豚鼠试验均为阴性。血清的凝集试验也是如此。只有一例部分获得胎盘。染色片和来自各种区域的切片均未显示流产杆菌。胎盘组织的豚鼠试验也为流产布氏杆菌阴性。另一方面,在水肿的子叶下绒毛组织的毛细血管内皮细胞的细胞质中,发现了类似弧菌的微小生物体。随后,其中一个病例的血清凝集效价升高到表明在第二次妊娠期间感染了流产布氏杆菌的水平。在这群牛中,由于胎儿弧菌引起的流产在年龄较大的奶牛和小母牛中独特分布,首先导致年龄较大的奶牛发病,然后逐渐传播到小牛,这可以用牛群本身的某些情况来解释。可以假定感染最初是由购买的奶牛带入的。小牛被隔离开来饲养在一个特殊的畜栏中,当它们 6 个月大时,被放牧在偏远的农场,直到妊娠后期再返回。因此,在第一次产犊之前,小母牛一直远离弧菌携带者。1919 年 6 月和 7 月,55 头购买的和本地的奶牛被安置在小牛的牧场上。1919 年 10 月 24 日、11 月 9 日和 12 月 2 日,三头小母牛流产。胎儿的年龄和状况非常符合这样的假设,即胎儿弧菌于同年 6 月或 7 月在小牛中引入。从目前对该牛群中因弧菌引起的流产的了解,我们可以制定一个暂定的假设,随着对这种传染性流产的了解增加,这个假设可能会有所修改。传染因子可能是在 1917 年或更早的时候由购买的奶牛引入的。它在 1919 年之前取得了一定的进展,然后病例数量减少,以至于在 1919 年 5 月至 1920 年 5 月期间,仅在小母牛中发现了上述三例病例,以及一例在年龄较大的奶牛中与流产布氏杆菌混合感染的病例。在同一时期,由于流产布氏杆菌引起的病例持续不减。与胎儿弧菌相比,流产布氏杆菌在培养物中的表现出更大的抵抗力,因此反映在其在自然界中的行为中。感染的暂时消失表明,牛群对胎儿弧菌的自然免疫迅速进展。当牛群的免疫力因感染因子的消失而下降,而后者从外部重新引入,或者当引入更高毒力的弧菌时,可能会再次出现另一次爆发。