•iv'!'tv».'^T<.V bn fl^b THE ETIOLOGY AND PATHOLOGY OF GROUSE DISEASE & FOWL ENTERITIS THE ETIOLOGY AND PATHOLOGY OF , GROUSE DISEASE FOWL ENTERITIS And some other Diseases afiecting Birds E. KLEIN, M.D., F.R.S. \\ LECTURER OF GENERAL ANATOMY AND PHYSIOLOGY IN THE MEDICAL SCHOOL OF ST. BARTHOLOMEW'S HOSPITAL, LONDON WITH FIFTY-THREE ILLUSTRATIONS iLontion MACMILLAN AND CO. AND NEW YORK I 892 All rights rcsoi'cd LIBRARY G • Printed by R. &. R. Clark, Edinburgh. TO SIR JOSEPH LISTER, BART., M.D., LL.D., F.R.S. THIS BOOK IS RESPECTFULLY DEDICATED BY THE AUTHOR 703403 PREFACE Having been engaged for the last five years in collecting data as to the etiology and pathology of grouse disease, I find that the time has arrived when I am enabled to give a coherent account of the subject ; the number of grouse, dead or dying naturally from the disease, which I have dissected, and which were derived from different parts of England and Scotland, sent to me during several years through .the kindness of the Editor of the Field, is very considerable, as will be fully referred to later ; the number of cultivations from the grouse, the number of experiments with cultivations on birds and mammals has been sufficiently large to enable me to draw definite conclusions as to the nature ofj those cultivations. To the Editor of the Field, and through him to many gentlemen, both in England and Scotland, interested in grouse, my best thanks are due for the valuable assistance which I received from them. The second disease treated here is a viii PREFACE highly infectious and fatal disease of fowls — fowl enteritis, which was at first believed to be fowl cholera, to which it bears a certain resemblance, but from which it materially differs, not so much as to its mortality and high degree of infectiousness, but in respect to its pathology and causation. In order to show these differences I have prefaced the chapters on fowl enteritis with a short chapter on fowl cholera. The first material of fowl enteritis on which I worked was placed at my disposal by Mr. W. Cook of Orpington, the well-known author on, and successful breeder of poultry, through the intervention of Mr. C. Wellington ; both these gentlemen, notably Mr. Cook, have rendered me invaluable service, for which I beg to return them my best thanks. The third disease, about which I intend to make a few remarks, is the infectious disease of young pheasants known to pheasant - breeders as "the cramps." While engaged in Ayrshire for the Field, in the summer of 1887, in inquiring into the pathology and etiology of the grouse disease, I had the opportunity of studying the cramps at Blairquhan, and to the keeper there, Mr, Douglas, my thanks are due for supplying me then and after- wards with materials both as livino- and dead specimens. PREFACE . ix In conclusion I wish to thank my friend Mr. Andrew Pringle for having kindly prepared many of the micro-photograms, illustrating the microscopic appearances, both of the grouse disease and of the fowl cholera and fowl enteritis, and to my friend and pupil, Mr. E. C. Bousfield, for some of the micro-photograms and of the photograms of the cultivations. St. Bartholomew's Hospital January 1892. CONTENTS PART I THE GROUSE DISEASE CHAPTER I PAGE Nature of the Disease ...... i CHAPTER n Symptoms and Pathology . . . . . . i^ CHAPTER HI Character of the Bacillus of the Grouse Disease . 24 CHAPTER IV Experiments with Culture by Subcutaneous Inocula- tion 33 CHAPTER V The Autumnal Disease ...... 44 CHAPTER VI Further Characters of the Bacillus . . . .51 CHAPTER VII General Considerations . , . , . -58 CONTENTS CHAPTER VIII PAGE A Pathogenic Bacillus resembling the Bacillus of THE Grouse Disease ...... 63 PART II FOWL CHOLERA, FOWL ENTERITIS, AND "CRAMPS" IN YOUNG PHEASANTS CHAPTER IX Fowl Cholera ........ 79 CHAPTER X Fowl Enteritis — Nature of the Disease ... 86 CHAPTER XI Cultivation of the Bacillus of Fowl Enteritis . 92 CHAPTER XII Experiments on Fowls . . . . . .100 CHAPTER XIII Attenuation of the Virus of Fowl Enteritis . . 107 CHAPTER XIV " Cramps " in young Pheasants . . . . .121 Figures i to 53 . . . . . • 132-140 PART I THE GROUSE DISEASE CHAPTER I NATURE OF THE DISEASE The epidemic disease which affects Red Grouse (Lagoptcs scoticMs) in Scotland, the North of England, Wales, and Ireland during the spring and the summer, ^ and which, particularly during April, May, and June of some years, makes such sad havoc amongst them, is the one which goes under the name of the Grouse Disease. Not that grouse and allied species are exempt from other affections, but the disease which for years past, in one or another part of the north of the British Isles, has carried away annually large numbers of these birds, is the one known as the "Grouse Disease." Nor do we mean that this disease occurs amongst the red grouse in spring and summer-time only, for there is good evidence to show that though these are the seasons in which the plague, when occurring, is most conspicuous owing to its extensive mortality, the autumn and winter are not free THE GROUSE DISEASE chap. from the presence of the malady, which owing to various circumstances to be mentioned hereafter is then less conspicuous, and may even be altogether overlooked. The fact that year after year in one or another tv<<(ii^-'j part of the country the disease is or becomes epidemic, is in itself strong prima facie evidence that it is an infectious illness ; further, the now well- recognised occurrence of isolated fatal cases of the same illness amongst the grouse in one or another part of a given district during autumn and winter, makes it certain that the disease has become endemic, and is ready, when favouring opportunities offer them- selves, to assume the epidemic character. This is the case with some other acute infectious endemic maladies affecting men and animals which, at certain times of the year and under certain other favouring conditions, assume the epidemic character. Such a change is, however, a slow and gradual development. Take, for instance, Asiatic cholera, endemic in Bengal. It is present in isolated cases all the year round in some part or another of Bengal. During the cold season the number of cases gradually increases ; by the end of the cold season, during the spring and beginning of summer, the cases become so numerous, and the spread of the disease so conspicuous, even outside the endemic area, that the disease possesses NATURE OF THE DISEASE the epidemic character ; then, with the commencement of the rainy season, it gradually diminishes again, and reaches its lowest level towards the end of this and the commencement of the cold weather. This same character is observed in countries in which cholera is not endemic, and which remain free from it for years, e.g. Syria, Egypt, and European States. Cholera im- ported into these areas gradually and steadily works itself up into an epidemic, and equally gradually again declines, the summer and spring being the most favourable seasons in which it thus becomes epidemic. During autumn, and towards the winter, the cases become less numerous and milder, and as such may occur as isolated cases all through the winter. Towards spring they become again more numerous and more severe, and in spring may cause a recrudescence of the epidemic. Scarlet fever, diph- theria, and typhoid fever are other well-known instances in which acute endemic infectious disorders during certain seasons show marked exacerbations. In grouse disease the month of April, and the com- mencement of May, are the times in which the disease, as a rule, gradually by numbers and inten- sity (fatal cases) becomes conspicuous. During the end of May and the commencement of June it is at its height, and then again declines during July ; but fatal cases occur also during August, September, THE GROUSE DISEASE October, and later, but their numbers are, for obvious reasons, smaller during this time. That a moor, or even a whole district, is and remains free from the 1 epidemic during one or more years may be, and as a rule is, due to a variety of conditions which also as regards epidemics of other infectious diseases are known to occur ; some of these we do know and call secondary or accessory conditions. Assuming the disease to be an infectious disease, there is nothing extraordinary in the fact, occasionally ob- served, and used by some as an argument against the infectious nature of the malady, to wit, that in a given country a series of moors are seriously im- plicated, while here and there one or another moor is only slightly affected, or apparently remains free from the disease. I say there is nothing extraordinary in this because there may be, for all we know, a variety of circumstances at work which favour, or disfavour, the spread of infection from one moor to the neighbouring moor. In human epidemics this fact is observed repeatedly. One locality becomes a hot-bed for the disease ; the neighbouring locality remains fairly free from disease, or has only few cases. In a third locality at a greater distance the disease is again rife, and so on. Whether, in the case of the grouse disease, birds are in better condition to resist the disease in one locality than in the neighbouring one ; NATURE OF THE DISEASE whether birds affected with the disease carry it from one locality, not to the one lying next, but to a moor some distance off; whether in one moor there are present conditions as to situation, heather, water, etc., which are favourable or unfavourable to the develop- ment and spread of the disease, — all these are points which may, and probably (see below) do, play a part in the dissemination of the plague. A disease which year after year assumes the char- acter of an epidemic at particular seasons, which com- mences as isolated cases, and gradually works itself up into a serious epidemic, i.e. spreads from a few to many individuals, and again in the same way gradually declines ; further, a disease which has such uniform and typical characters, both as to symptoms and pathology ; bears on the face of it the character of an acute infectious disease. The late Dr. Cobbold, in his well-known brochure on the grouse disease, enunciated that the cause of the grouse disease is a parasite, in fact a nematoid worm belonging to the group of strongyles i^Stron- gyhis pergracilis), for in the intestines of grouse dead of the disease this parasite was constantly / present. Numerous grouse which he examined, and which succumbed either in the epidemic of 1872 or 1873, and others examined in later years, contained these parasites in abundance, though " without doubt " 6 THE GROUSE DISEASE chap. (Cobbold, Parasites, p. 439) "the occasional presence of numerous tape-worms {Tcenia calva) hastened the consequent fataHty." This view has always been strenuously opposed by various writers and observers, both lay and veterinary or medical, inasmuch as it was considered quite insufficient to account for the disease ; for it was pointed out by Dr. Farquharson and Mr. Wilson (see below), and can be easily veri- fied, that the same parasites occur also in birds not subject to the disease. Now, taking into consideration that the disease is well characterised both in its symp- toms and its pathology ; that the same parasites un- doubtedly occur in grouse not afflicted with the grouse disease ; that grouse dead of the disease are found sometimes plump, sometimes emaciated ; and, above all, that grouse dead of the disease, in several instances when examined, showed no presence of the stron- gylus : it must be evident that the parasites some- times present in the intestine cannot be the real cause, the causa cattsans, of the disease. That cause must be of a different nature. It must be of a nature which works rapidly, or fairly rapidly, which affects the system as a whole, and which easily spreads amongst the birds. We shall presently see that one of the most prominent pathological changes in the diseased grouse is an acute congestion of one or both lungs, and that this change, whether very severe or less NATURE OF THE DISEASE severe, is independent of the presence of strongylus. I dissected numerous birds dying or dead of the disease in 1887, and showing the characteristic lung change, and must confess that I was extremely sur- prised to find the strongylus in some cases entirely ivH|p6\h. absent, in others present in very small numbers, though taenia calva was present in aH in large num- bers, just as large as in birds killed but not affected with the grouse disease. Amongst various writers on the grouse disease, none deserve a higher place than Dr. H. Colquhoun and Dr. D. G. F. Macdonald. By selecting the opinions of these two writers amongst a host of writers who, by letters to the Times and the Field or other publica- tions, have contributed to this question, I am practi- cally quoting in a condensed form the most note- worthy summary of the various opinions offered. All these opinions as to the cause of grouse disease do not in reality touch the cmisa caitsans at all, but the conditions or secondary causes, which favour, and play an important part in, the appearance of the grouse disease in the epidemic form. Amongst these conditions may be mentioned : — {a) bad season ; {b) bad or insufficient food ; and {c) overstocking. It must be obvious that as in many other acute in- fectious disorders amongst men or animals these conditions play a very important part, inasmuch as \ 8 THE GROUSE DISEASE chap. they create a less resisting, more susceptible material for the carrying out of -infection. The more adverse the season — inclemency of the weather, frost, etc. — the more sparse or inferior the natural food, the less hardy and strong are the birds when the time arrives which is most favourable for the development of the disease, and therefore the more easily do they take infection. This is well understood as applicable to other infectious disorders. A strong individual, not weakened by bad and insufficient food or by bad or inclement weather, will resist the infection much more easily than one previously brought down in general health and strength. Suppose there are, on a given moor, a large number of birds in this weakened state, and suppose there exists on this moor the active cause of the disease, it stands to reason that, there being present a good many birds of no great resisting power, one or the other of them will take the infec- tion, from these others will take it, and so on, so that, after a short time, a large number of foci will thus be started acting not only on the remainder of the weaker but also on the stronger birds. But sup- posing, on the other hand, the birds in early spring are well and strong ; though the active cause of the disease be present on this moor, yet it will not easily find, as it were, a susceptible individual, and conse- quently the disease will show itself either only in NATURE OF THE DISEASE Sporadic cases, or will be barely appreciable, or will be absent altogether. And so also with overstocking and over-preserva- tion. This is admitted by most to have an injurious effect, inasmuch as it is liable to produce too great a struggle for existence and a consequent weakening of the birds on the one hand, and, on the other, a possibility, owing to the great number of birds left, of cases of disease lingering on through the winter as mild cases, but ready in the following spring to cause an epidemic of the severe fatal disease (see below). Dr. R. Farquharson, in a letter to the Lancet, Sept. 1874, was the first to state the opinion that the grouse disease was of the nature of a con- tagious fever, since " the idea of an epidemic and infectious fever fits the facts already obtained better than anything else" {Grouse Disease, Macdonald, p. 129). He argued that, as great differences prevail in the degree of loss of flesh observed — some dead or dying birds being found as plump as in their healthy con- dition, whilst others are found reduced to mere skele- tons,— this is in favour of its specific or constitutional nature ... "so that whilst those dying from a very acute attack, or whose constitutions are unable to withstand its debilitating influence for more than a brief period, retain the outward appearance of health, THE GROUSE DISEASE Others present all the conditions of excessive exhaus- tion " (/.f. pp. 130 and 131). I may here at once state that this explanation offered by Dr. Farquharson, as to the difference of condition observed in birds dead of the grouse disease, is one which I think perfectly correct and one for which I shall be able to offer direct experi- mental evidence. Moreover, it is one which from analogy, i.e. such as is observed in other infectious fevers, would, a priori, suggest itself. The next noteworthy contribution made to our subject is by Mr. Andrew Wilson, Lecturer on Zoology and Com- parative Anatomy, Edinburgh, who in the Edinburgh Medical Jottrnal gave the first accurate description of the pathology of the disease. '* Mr. Wilson has had many opportunities (Macdonald, pp. 145 and 146) afforded him for the examination of grouse dying from the disease, and he states that, in most of the birds he examined, he observed a markedly congested appearance of the mucous surface of the digestive and respiratory tracts. Repeated dissections and careful observations satisfied him beyond doubt of the almost invariable presence of this lesion in birds." Mr. Wilson "unhesitatingly" prefers the theory of Dr. Farquharson, i.e. that the grouse disease is an infectious fever ; " and the reasons for enlistment under the banner of the epidemic hypothesis, rather NATURE OF THE DISEASE than under that of parasitism, are chiefly those de- rived from the consideration that the former theory fully comprehends all the conditions which the phenomena of the grouse disease may present ; and further, that the theory may be applied to the ex- planation of points and facts, of which the theory of helminthiasis can take no heed. ** We thus find that these birds are almost invariably affected by both kinds of entozoa — most specimens to a moderate extent, some to a very great degree. But it is exceedingly rare to meet with a bird in which not a single parasite of either kind is present. Out of many cases examined not a single bird was found actually free from the characteristic tape-worm, and in one or two doubtful instances only could it be asserted or suggested that none of the round worms were present. ' " That the presence of these parasites was uncon- nected with the death of the great majority of the birds examined is, I think, proved by the want of any causal or obvious relationship between the infesta- tion and the fatal issue ; and also by the absence, in most cases, of the signs of fatal parasitism — such as inanition, producing the * pining ' condition, actual per- foration, morbid appearance of the muscular tissues, etc. No one can deny that the presence of para- sites in large numbers undoubtedly causes death in a cU 12 THE GROUSE DISEASE chap, i specific and readily understood manner ; but this fact will not explain the nature of the cause or disease which operates so fatally, without any exceptional development of parasites, and certainly without the slightest appearance of inanition or other concomitant symptoms of helminthiasis. Outside the parasitic hypothesis, applicable as that theory is to a certain class of cases, there lies, I am convinced, the great bulk of fatal instances, the exact cause of which fatal- ity must be sought for in some lesion analogous to that involved in the idea of the epidemic theory. We must thus account for the death in numbers of grouse which, with what one may consider a normal and actual degree of parasitism, yet die and succumb to disease, and which on examination present well- nourished bodies, firm, healthy, muscular tissue, and other signs of presumed health " (Macdonald, pp. 147 and 148). CHAPTER II SYMPTOMS AND PATHOLOGY It must be obvious that in a disease affecting birds that cannot be kept in captivity for any sufficient time, the accurate and systematic observation of the symptoms of the disease is fraught with great diffi- culties, and it is therefore impossible to give a con- nected account of the course of the disease. From what I can gather of shrewd and observant keepers, and what I myself observed on the grouse in 1887 while staying on the moors in Ayrshire and in Cum- berland, thanks to the editor of the Field, and the kind and generous hospitality of Mr. G. Bailey Worthington, then holding Blairquhan, and of the late Sir Frederick Graham of Netherby Hall, on the borders of Cumberland, and also from what I observed of ammers and other birds experimentally infected with the disease in the laboratory, I fully agree with Dr. Farquharson that the grouse disease is an acute infectious fever — being, in fact, an acute '4 THE GROUSE DISEASE infectious pneumonia. In the severe forms, such as are observed during epidemics in May and June, the birds, once affected, rapidly, in a day or two, show great loss of muscular power and seek the water. The loss of muscular power is apparent by the impeded flight, this being sluggish, being per- formed with unwillingness, and not for any normal time, that is to say, if on the wing the birds soon drop again. Wherever there is a trace of water the affected birds will seek this, and in many instances in severe epidemics their bodies are picked up in numbers on the shores of such water. As the post- mortem examination shows, the congestion of the lungs forms a conspicuous pathological symptom ; and it is therefore clear that, as in acute congestion of the lung in man and animals, also in the grouse, under these conditions, fever must be a prominent symptom, and the above appearances during life easily account for this. Also the peculiar alteration in the call of the diseased birds, this being somewhat feeble and hoarse, would be a natural result of the lung con- gestion, since this condition would prevent the birds from uttering their call with normal force, and the congested state of the mucous membrane of the larynx would cause the sound to be less clear and sharp, and more hoarse. The more or less ruffled II SYMPTOMS AND PATHOLOGY 15 condition of the feathers of the back and throat, or rather the absence of the smooth condition and metallic lustre of the feathers of the back observed in diseased birds, could also be accounted for by their feverish condition. The colour of the eyelids, bright in the normal state, is not of the normal bright orange colour in birds dead of the disease. In every severe congestion of the lungs, such as obtains in the severer forms of the grouse disease, there is a general venous conges- tion of all parts consequent on the engorgement of the venous part of the heart supplying the pulmonary artery ; and therefore also the skin all over the body, including the eyelids, would participate in this venous congestion. The natural aspect of the bright pigment of the eyelids would therefore become altered by the presence of this venous congestion, and the eyelid would look duller. Pathological appearances. — The birds that die dur- ing a severe epidemic, such as obtains in the spring and early summer, show the following post - mortem appearances : the crop is generally more or less full of undigested heather ; as a rule this is the more conspicuous the better nourished and the plumper the bird, and the better preserved the pectoral muscles are. I have dissected birds which were emaciated, the legs bare of feathers, and in which 1 6 THE GROUSE DISEASE riiAi'. the crop contained only little or no food ; and in such cases the disease of the lungs is as a rule, but not without exception, not very extensive, only a portion of one or both lungs being congested. Such is the case in some birds in the spring and summer epidemic ; such is the case in birds that die in the autumn. In the majority of instances in which the dead birds are found plump — as for instance during the height of the spring epidemic — the lungs show a great deal of congestion, the crop is full, and the legs are not bare. I conclude from this that, in these cases the disease being severe, it rapidly kills the animal, or more correctly, if the animal rapidly succumbs to the disease it will show less loss of flesh, and the crop more full of heather than when the animal lingers on for some time — for then the fever would inevitably cause great loss of flesh, and the animal, as is to be expected, would present appear- ances of emaciation. This view, enunciated by Dr. Farquharson and Mr. Wilson, seems to me the best to harmonise with the facts. The chief changes are undoubtedly those found in the lungs. The mucous membrane of the larynx and trachea is of a dark colour, hypera^mic ; this is the more pronounced the more marked the lung change. The latter shows deep coloration in the greater part of either one or both organs, 1 1 S YMP TOMS AND PA THOL OGY 17 the hind portions being, in these cases, the ones chiefly affected ; or both lungs are uniformly con- gested, being in some cases of a dark purple-red colour. On microscopic examination it is found that in the congested parts the large and small blood- vessels are uniformly distended and filled with blood, and that the air-spaces of the more deeply affected parts are uniformly filled either with a homogeneous or granular exudation, or with blood ; so that in these parts we have a solidification of the lung which com- pares with the condition known as the red hepatisa- tion in Pneumonia, There is, however, no fibrine in the form of threads noticeable in the air - spaces ; the smaller air-spaces contain blood eiz masse, while the large ones are filled with a homogeneous albu- minous exudation. From this we conclude that rup- ture of small vessels had taken place during life (Fig- I)- The spleen is not enlarged, and appears of a dark colour. The liver is uniformly congested and soft ; it is either of dark red colour or appears almost black. On microscopic examination the large blood-vessels as well as the capillaries of the lobules are distended and filled with blood corpuscles. In some cases the liver, on post - mortem examination, is blackish, or rather is of a dark olive-green colour. In these instances the liver cells appear granular and more or c 1 8 THE GROUSE DISEASE chap. less disintegrating, and contain dark brown pigment granules ; besides, numerous clumps of dark greenish pigment masses are found in the spaces of the intra- lobular capillary vessels, while the large vascular branches are full of blood. Evidently in these cases the disease is of longer standing than a few days, for the capillary blood-vessels are not found filled with blood corpuscles, as would be the case in recent cases, but contain the remnants of disintegrated blood cor- puscles, viz. masses of amorphous pigment. The dark greenish-black condition of the liver is always associated with great emaciation of the animals, and, as is proved by microscopic examination, is associated with a large amount of blood pigment, so that from this we conclude that there must have existed, some time before death, stasis in the blood-vessels, disin- tegration of the blood corpuscles, and change of the blood pigment. This is in agreement with what we mentioned on a previous page as to the emaciation of birds indicating that the disease must have lasted for some time. In all instances, however, the liver cells themselves contain brown pigment granules. The kidneys are congested, in some instances leading to haemorrhage into the tissue of the kidney. The intestinal mucous membrane shows patchy congestion, and the same is the case with its serous covering, which in most instances is congested in many places, II SYMPTOMS AND PATHOLOGY 19 sometimes to a considerable extent. In some cases the peritoneum appears very moist in these locaHties ; that is to say, there is a small amount of exudation. I have seen a few cases in which haemorrhage has taken place, showing itself in the form of petechise in the peritoneum. From this we see that the grouse dead of the disease show a definite series of pathological appear- ances, in which the congestion of the lungs and liver is very conspicuous. The above considerations led me to conclude that the disease was an acute infectious disease, and owing to the constantly congested and diseased condition of the lungs and liver, I thought it possible that the disease belonged to the group of diseases in which the microbe caused the disorder by its multiplication in the blood. The first birds dead of the disease which I dissected in June 1887, ^^ Ayrshire, w^ere examined with the view of discovering the microbe in the blood. Cover-glass specimens were made of the heart's blood and of the blood of the lung, i.e. a thin film of blood was dried on cover-glasses and then stained in the usual manner with aniline dyes — methyl blue or gentian violet ; but on micro- scopic examination no bacteria could be discovered. ; Numerous tubes, some containing nutrient gelatine, '\ others nutrient Agar, were inoculated in the usual THE GROUSE DISEASE manner with the heart's blood ; they all remained sterile on incubation and free of any growth. The heart's blood of at least half-a-dozen grouse dead of the disease, or killed while diseased, was thus examined, but no bacteria could be discovered in it. Lungs, liver, and kidneys were taken out from the animals after death, and were cut into small bits and preserved in spirit or Muller's fluid. Sections were then cut and stained with aniline dyes and mounted in the usual way, but here also no bacteria could then be found. This was the position of things which I described in my first report in the Field in July 1887. I have in 1888, 1889, and 1890 exam- ined many birds that died of the disease in April, May, June, or July ; and also in them I could not discover in the blood of the general circulation, either in cover-glass specimens or by cultivation, any bac- teria. From this I am enabled to say that in a large number of the grouse dead of the grouse disease in the spring and summer, — that is, dead with the char- acteristic pathological appearances of the lungs and liver, — the blood of the general circulation does not contain any microbes discoverable by the cover-glass or culture test. In 1888 therefore I directed my attention to examining in the same way, in the fresh condition, the tissue of the lung and liver ; and, with the exception of one or two doubtful cases, in SYMPTOMS AND PATHOLOGY all Others, whose number is considerable, I obtained, by the culture test in nutrient gelatine, evidence of the presence in the lungs and the liver of numbers of bacteria belonging to one and the same species ; for qr(: ^ when a particle of the lung or liver tissue is rubbed over the slanting surface of nutrient gelatine, or when it is shaken up in a test-tube with melted sterile nutrient gelatine, and the latter is then poured into a sterile glass dish, allowed to set and then incubated — that is if a plate cultivation in gelatine is made — colonies of one single bacterial species are obtained. By making sections through the inflamed lung or liver, after har- dening, and staining these sections for several hours in methyl blue, or better still in rubin and methyl blue, it is found that in some parts some of the capillary blood-vessels, both in the lung and in the liver, contain continuous masses, plugs or emboli, of the same bacterial species (Figs. 2, 3, 4, 15 and 16).^ But there are seen under the microscope extensive parts in which the blood-vessels do not contain them. It is from this easy to see why I failed in 1887 to obtain the microbe from the lung or liver in cover- glass specimens or in culture, viz. I used in both cases a droplet of the blood of the lung or liver, 1 In sections through the hardened liver stained with rubin, then with blue, the clumps of microbes are brought out with great dis- tinctness as blue masses on a red ground. THE GROUSE DISEASE and from what has been stated just now it is clear that it would amount to an extremely distant chance to get some of those capillary plugs in the droplet of blood. In 1888 I made a good incision with sterile scissors or scalpel into the substance of the lung or the liver — the lung or liver as a whole having previously been well dipped in saturated solution of mercuric bi-chloride to disinfect the surface — and from the cut surface a particle of the tissue was cut out with sterile scissors and used for cultivation ; here, of course, the chances of hitting one of the capillaries containing the bacterial masses are very much greater. And working on this plan I have obtained sufficient evidence to enable me to state confidently that the lung and liver of the grouse that are affected with - the disease in the spring and early summer con- tain a definite species of bacteria forming continuous masses or plugs in some of the capillary blood-vessels, but that in the blood of the general circulation they cannot be demonstrated. From this then it follows that the bacteria find their way into the lung and liver, in whose capillaries they settle and by their multiplication produce those embolic plugs. This is nothing exceptional, since we know of infectious diseases, both acute and chronic, in which the specific microbe does not thrive in the circulating blood, i.e. does not find in this a suitable nidus, and is there- SYMPTOMS AND PATHOLOGY fore absent from this, though it uses the blood circula- tion for getting to its proper nidus — in our case the lung and liver. In human croupous pneumonia it is the lung ; in tuberculosis the lymphatic tissues, lung, liver, and spleen. CHAPTER III CHARACTER OF THE BACILLUS OF THE GROUSE DISEASE In the grouse disease the cultivations obtained, as I said above, in almost all cases are of exactly the same character, and it is these which I now proceed to describe. (i.) Cultural characters : — The characters of the microbe in the gelatine plate, in gelatine stab- and streak-cultivation are quite dis- tinct. After 24-36 hours' incubation at 20° C. of a gelatine plate, the first indications of the super- ficial colonies are noticed as grey, translucent, fiat, angular dots, visible under a magnifying-glass. They spread rapidly in breadth, so that after 3-4 days they reach a diameter of 3, 5, and more millimetres ; they remain fiat and thin and are slightly thicker and folded at the margin, which is much crenated. In reflected light their aspect is whitish ; they look dry, and when viewed obliquely have a fatty satiny lustre. In transmitted light they look pale brown and trans- CHAP. Ill CHARACTER OF BACILLUS 25 lucent. About the end of the week their maximum growth is reached (Fig. 5). As with other species, so also here, when the colonies of the surface are placed at great intervals they grow much larger than when they are near together. Those that develop in the depth of the gelatine plate are very small as com- pared with those growing on the surface, and remain minute round dots, whitish in reflected, brownish in transmitted light. The gelatine is never liquefied by the growth. Sub-cultures made of a colony on the surface of gelatine as streak-cultures, — i.e. when with the end of a platinum wire a colony is touched and is then drawn in a line over the surface of the gelatine, — show after one or two days along the line of inoculation a narrow, grey, translucent band. This band rapidly broadens, and remains flat, and possesses a crenated margin. After a week its breadth is 5-10 millimetres and more, it is flat, thin, translucent, dry, smooth, and possessed of a satiny or fatty lustre ; the margin is slightly thicker than the middle, translucent, and plicated. In stab-culture the line of inoculation — the stab — becomes visible after a day or two as a grey line. Under a glass it is composed of minute spherical dots. On the upper surface of the stab a thin, translucent, whitish-grey film gradually spreads over the gelatine with irregular margin, which in 26 THE GROUSE DISEASE chap. about a week has covered nearly the whole free surface of the ofelatine in the test-tube. But even at the maximum growth the clots constituting the stab remain small (Figs. 6, 7), and are brownish in transmitted light. After a few days' incubation of the stab culture there are generally in the deeper parts one or two large flat gas-bubbles to be noticed, fixed on to the growth with one end, and placed, therefore, eccentrically to the line of the growth. The gas -bubbles slant generally in an upward direction. The development of gas-bubbles in the deeper parts of the growth is well and easily shown by making a "shake culture" in gelatine — that is to say, by distributing (by shak- ing) a limited number of the microbes in melted nutrient gelatine contained in a test-tube and then allowing this gelatine to set, by keeping it in cold water for a short time before incubation. After two days numerous colonies are visible as minute dots distributed through all the layers of the gelatine, and attached to each dot or colony in the deeper parts is a small flat gas-bubble. Such a culture looks extremely characteristic (Fig. 8). The gas- bubbles increase in size, and, if the colonies are numerous, i.e. if a considerable number of the microbes had been originally introduced into the gelatine, the lower half or two-thirds of the culture in CHARACTER OF BACILLUS 27 are crowded with gas-bubbles, the upper layers of the gelatine remaining free from them. Gradually, how- ever, the gas-bubbles disappear, i.e. escape on to the surface, and by the end of eight or ten days all but the deeper situated bubbles have disappeared. The escape of the gas -bubbles between the gela- tine and the glass wall of the test-tube can be easily ascertained. On nutrient Agar at 36-37° C. the microbes grow with great rapidity ; in two or three days the sur- face of the Agar becomes covered with a greyish- white thin film. In alkaline beef broth (with i per cent peptone), incubated at 36-37° C, there is, after 24 hours' growth, strong uniform turbidity, which reaches its maxi- mum in about 3 days ; at the same time there is a copious greyish floccular or granular precipitate. After about 5-7 days there is noticed, just at the point where the surface of the fluid is in contact with the glass of the test-tube, a ring of whitish growth ; but there is at no time a distinct pellicle formed on the surface. On potato, previously steril- ised in the steam steriliser, the microbe grows well ^t Z^-ZT C., forming in a few days a light yellow- brown, limited film, which looks like paint, and does not spread much over the surface of the potato. 28 THE GROUSE DISEASE chap. (2.) Character of the microbe in the fresh state : — The microscopic examination of the microbe in the Hving or fresh condition, i.e. in a drop of saHne solution, or serum, or broth, shows it to be a spheri- cal, or more generally an oval corpuscle, occasion- ally more distinctly rod-shaped or cylindrical, with rounded ends. The microbes occur either single or, more commonly, double, i.e. as dumb-bells (Fig. 9). The great majority are without any movement of their own, showing only the oscillating move- ment that all granules suspended in a fluid show, namely, the Brownian molecular movement. But occasionally one or the other shows active locomo- tion, either spinning round and round, or darting, under oscillation of its body, through the field of the microscope. Such actively motile individuals are to be seen fairly frequently in a fresh prepara- tion made of a recent colony from a gelatine plate, or from a recent gelatine tube-culture, or from Agar culture, from the fresh lung -tissue or from the liver. By means of the platinum wire a particle of the culture or of the tissue is suspended or distributed in sterile salt-solution — or better, in broth — and examined either in the " suspended drop," i.e. in the hollow glass slide, or simply mounted on an ordinary glass slide. The number of non-motile bacteria is always, under the most favourable conditions, greatly in Ill CHARACTER OF BACILLUS 29 excess of those that are possessed of motility ; the number of these latter being limited. In prepara- tions made of recent culture, except potato or broth cultures, the number of motile forms is appreciably greater than from a culture of some days' standing ; in older cultures they are missed. If of any gela- tine cultivation, say a streak culture or a plate cul- ture, fresh preparations are examined from day to day, the same tube or the same colony being used, it is noticed that while in the first few days the number of motile bacteria is sufficiently great to see in every field several or even many examples, about the end of the week, and later, few motile forms are to be found in the whole slide. And if now fresh sub-cultures are started, it is again noticed that, while recent, they show the motile forms fairly abundant ; if of some standing, only non-motile ones are present. I conclude from this that there is produced in the cultures, by the growth, a chemical substance which inhibits and is adverse to the motility. It cannot, I think, be explained by saying that the later offsprings are devoid of the organs of motility, i.e. the flagella, while the earlier off- springs possess them, because when they are planted on fresh nutritive medium they again show motility, and on potato or broth, even after 24 hours' growth no motile forms are found. It can hardly be said 30 THE GROUSE DISEASE chap. that in one case they produce offsprings with flagella and in the other without. I have not examined them with regard to demonstrating the presence or absence of flagella, and therefore cannot say positively that it is not so, but it seems to me more probable that the loss of motility is due to some chemical poison produced by the bacteria. In the fresh blood of grouse (dead in the late summer and autumn) the bacteria are always present, as I shall point out below, and motile forms, though not very abundant, can nevertheless be easily detected. So also in the fresh blood of animals and birds infected by inocula- tion with the cultures of the microbe (mice, guinea- pigs, yellow-ammers, and buntings), motile forms can be found. In the grouse and in the sub-cultures from the grouse the oval forms abound. Some are so short that they appear like cocci ; but it must be added that, though at first sight many appear like spherical cocci, on more careful focussing with high powers it can be shown that in reality most of them are oval, but appear spherical when viewed foreshortened or in optical transverse section. In sections through the liver or lung of the grouse dead of the disease, or of other animals infected with the cultures, the blood capillaries, as men- tioned above, are found plugged with the microbes. Now it is precisely in such masses that the individuals, Ill CHARACTER OF BACILLUS 31 even under a moderately high power, e.g. under a power of 300 to 400, appear as spherical cocci ; but on examining carefully with oil immersions the marginal parts of the masses, where the individuals are loosely arranged, it is clear that most of them are distinctly oval or even rod-shaped or cylindrical. When the microbe is examined in mice or guinea- pigs that have died after inoculation with the culture, it is found that the number of rods and cylindrical forms is very much greater than in the grouse or in the sub-cultures of the grouse. This is well shown in Figs. 10 and 11. In the ammer, bunting, greenback, and finch, which are highly susceptible to the disease, many individuals are rod-like or cylindrical ; and also, in the blood of the grouse dead during late summer and autumn, rod-shaped individuals abound. Whatever the source of the organism when grown in broth, — or better still, when grown in or on nutri- tive gelatine to which 5 per cent, solid sea salt (Sted- man's sea salt) has been added, — the bacteria grow out into long cylindrical threads, most of them smooth and uniform, but some made up of individual cylin- drical bacilli (see Fig. 12). There can then be no doubt that we have to deal with a form which corre- sponds to those groups of bacterial species known as bacilli. THE GROUSE DISEASE \SX^ Measurements made of the organisms in cover- glass preparations, dried and stained, give the follow- ing figures : — The spherical forms are 0.4 /^^ in diameter ; The oval forms are 0.6 yu, long, 0.4 yu- thick ; The rods and cylindrical forms 0.8-1.6 /x long, 0.4 /A thick. 1 I /x = o.ooi millimetre, or about 2TW0 P^^^ of an inch. ,:jt .-a .Lift. . ic':'; ;\,' j ,V fowls. From a broth culture (first sub-culture), after twenty-four hours' incubation, about lo minims were inoculated subcutaneously into each of the two fowls. On the 6th day both animals were found quiet and dull, off their food, and suffering from diarrhoea. On the 7th day both were found dead with the characteristic post-mortem appearances ; cover-glass specimens and cultivations of the heart's blood, spleen tissue, and intestinal mucus yielded abundant evidence of the presence of the bacilli. 4. From a second broth sub-culture twenty -four hours old, which had been established from a previous gelatine sub-culture, two fowls were inoculated. Both showed the first signs of illness on the 6th day, being quiet, off their food, and affected with diarrhoea. One of these fowls was found dead on the 7th day, with the typical appearances, and the bacilli in the blood, spleen, and intestinal mucus. The second one was still quiet and had diarrhoea on the 8th day. On the 9th day it still had diarrhoea, but appeared a little more lively and was seen feeding. On the loth day the diarrhoea was less, and the fowl was distinctly better. The diarrhoea gradually sub- sided, and at about the 1 8th -20th day the fowl seemed to have perfectly recovered. Two other fowls were inoculated subcutaneously THE GROUSE DISEASE with several minims of a broth sub-culture, twenty-four hours old. Both birds showed the first signs of illness on the 5th day ; they were quiet, off their food, and had diarrhoea. The condition was the same on the 6th and 7th days ; on the 8th day the diarrhoea was less, the birds were livelier, moved about, and fed also a little ; they gradually recovered from the diarrhoea, and by the end of the third week had seemingly quite recovered. [I shall have occasion to refer further below to a large number of inoculation experiments on fowls made with broth cultures, but as they were made with broth cultures previously exposed to certain higher degrees of temperature, with the object of attenuation, they will be described in connection with the protective inocula- tions.] In order to see whether the infection of fowls can be produced by feeding, the following experiments were instituted : 5. Some of the intestinal contents of a fowl that had died of the disease after inoculation with blood and spleen tissue of an Orpington fowl, were poured down the throat of two fowls. One of these birds showed the first signs of illness — viz. slight diarrhoea on the 6th day, on the 7th day the diarrhoea was pro- fuse, the bird was quiet, dull, and off its food. This animal was found dead on the 8th day. On post- xii EXPERIMENTS ON FO WLS 103 mortem examination the typical appearances were found. The blood, spleen tissue, and intestinal mucus contained the bacilli ; cover-glass specimens and culti- vations proved that the intestinal mucus was almost a pure culture of the bacilli of fowl enteritis. The second fowl remained lively and showed no diarrhoea. After the lapse of eighteen days since the feeding, this fowl was inoculated subcutaneously with a particle of a first sub-culture on gelatine. On the 5th day the bird was quiet and had diarrhoea, on the 6th the diarrhoea was profuse, and on the 7th the fowl was found dead with the characteristic appearances and the typical distribution in its body of the bacilli of fowl enteritis. 6. Two fowls were fed with a mixture, prepared by mixing broth, Agar, and gelatine sub-cultures, the two former about one month old, the last about six weeks old. By the 7th day no sign of illness was noticed in these fowls. They were fed again with a gelatine sub-culture, eleven days old, but no illness was noticed by the 8th day. From this series it follows that by feeding with the intestinal contents the disease is producible, but with cultures the experiment has not yielded positive results ; it ought to be noted, however, that the cultures used in Experiment 6 were of considerable age, and it must be added that the second feeding I04 THE GROUSE DISEASE chap. of the same fowls with gelatine sub-culture, eleven days old, proved without success, although the same gelatine sub-culture when inoculated subcutaneously (Sub-experiment 5) proved virulent. We conclude, therefore, that although some bacilli — e.g. of the in- testinal mucus — when introduced by ingestion, escape the action of the stomach and prove capable of infec- tion (Experiment 5), this is the case only to a limited degree. Experiments on other Animals 7. Pigeons, notoriously susceptible to fowl cholera, are quite refractory to fowl enteritis ; in no single instance have I been able to produce illness after inoculation with large doses of virulent material ; that is, material which proved virulent for fowls, even in small doses. 8. As is well known, rabbits are extremely sus- ceptible to fowl cholera ; but to fowl enteritis their behaviour is altogether different. A drop of blood of a fowl dead of fowl cholera, or a drop of a recent broth sub-culture of the bacillus of fowl cholera, injected subcutaneously into a rabbit, produces infection and death in from 20 to 30 hours without fail. Rabbits were injected subcutaneously with 5-10 minims of blood and spleen tissue of the Orpington fowls, as also of EXPERIMENTS ON FOWLS 105 fowls dead after inoculation from these fowls, but no result followed — the rabbits remained alive. Rabbits were then injected subcutaneously with broth sub-culture of the bacillus of fowl enteritis. Altogether six rabbits were inoculated, each receiving \ to I Pravaz syringeful of a culture twenty - four hours old ; the same culture was tested on fowls and proved virulent. Of the six rabbits five remained well, the sixth was found dead on the fifth day. On post-mortem examination both lungs were found much congested, the spleen was dark and very slightly (?) enlarged, the liver was slightly congested, no apparent change in the intestine. Cultivations on gelatine were made of the heart's blood and incubated. A very limited number of colonies made their appearance. Three drops of blood yielded altogether thirty -four colonies, all of them typical colonies of the bacillus of fowl enteritis. From this it is quite clear that fowl enteritis and fowl cholera are two different diseases ; further proof will be furnished later on by showing the behaviour towards fowl cholera of rabbits that survived a first inoculation with fowl enteritis. 9. Guinea-pigs were also inoculated by injecting them subcutaneously, some with blood and spleen tissue of a fowl dead of fowl enteritis, others with active broth culture of the bacillus of fowl enteritis. io6 THE GROUSE DISEASE chap, xii but no result was obtained ; the animals remained alive and well. lo. Mice (two in number) were inoculated under the skin of the back with a large dose of a gelatine culture of the heart's blood of an Orpington fowl. Both animals were found ill after twenty-four hours ; coat rough, "lumpy," breathing rapid. After forty- eight hours the animals were worse, very quiet, eyes closed. After three days they were so bad that they looked dying. One died during the day. On post- mortem examination the liver was found congested, the spleen dark and distinctly enlarged ; no other change. Cultivations were made of the heart's blood and the spleen juice, but on incubation only a few colonies of a liquefying coccus were found, no colonies of the bacillus of fowl enteritis. The second mouse was still ill, but alive on the fifth day : it was killed, and cultivations were made of the heart's blood and the spleen tissue, but no colonies of any bacteria made their appearance. I take it, then, that the two mice were made ill on account of having injected into them a large dose of the chemical products of the bacilli, the bacilli themselves not surviving or multiplying in the body of the mouse, and therefore the mouse must be also considered as refractory to the bacillus of fowl enteritis, altogether different from fowl cholera, to which illness mice are very susceptible. CHAPTER XIII ATTENUATION OF THE VIRUS OF FOWL ENTERITIS The next question that I wished to answer was, whether it is possible to find a means of attenuating the virulence of cultures of the bacillus of fowl enter- itis, in order to discover, if possible, a means of pro- tective inoculation ? For this purpose two preliminary questions had to be answered : ( i ) Do the bacilli form spores ? (2) Does a mild attack of the disease protect the animal against a second fatal attack ? I. As regards the formation of spores. In all experiments of attenuating the virulence of a microbe, the presence or absence of spores is of first import- ance. The spores being possessed of a greater power of resistance would, therefore, evade the attenuating influence of adverse conditions, such as certain degrees of higher temperatures, chemical agencies, etc. The bacilli of a culture not having the power of forming spores might become attenuated in virulence, though of course not killed, by degrees of temperature such as 55° C. and more, or by the addition of small doses of io8 THE GROUSE DISEASE chap. certain antiseptic media or other substances ; whereas if spores are formed by the bacilli, the application of such conditions would be altogether productive of a different result. Now the experiments of feeding which have been recorded in the preceding chapter point strongly to the absence of spores, because if such were present in the intestinal contents, or in the cultures used for the feeding, the positive results would have been more numerous than they have actually been. But these results do not absolutely demonstrate the incapability of the bacilli of forming spores, and for these reasons : under natural conditions the fowls, just as in fowl cholera, contract infection most probably by picking up food from a soil tainted with the evacuations of birds affected with the disease ; and it might be pos- sible that the bacilli on and in the soil produce spores, but they do not do so within the living body of the animal, or in the artificial cultures that had been used. A careful microscopic examination of old cultures shows that there are present numerous bacilli which, from their swollen-up condition and their abnormal shape (spindle-shaped and abnormally thick), are no doubt comparable to involution forms. Besides there are present numerous bacilli which, from their not taking the stain, compare to dead bacilli, of which xni ATTENUATION OF VIRUS OF FOWL ENTERITIS 109 only the sheath is left. (Fig. 50 shows well such forms.) In old broth cultures, three and more weeks old, filamentous and cylindrical bacilli are met with numerously, which clearly show the granular de- generation and gradual disappearance of the proto- plasm, so that then only the empty sheath is left. Such forms contain spherical or oval or irregular granules, which still take the dye ; but the older the culture, and the more numerous these forms, the less likely is it found that the culture has retained vitality ; that is to say, the less likely is it possible to start a new living sub-culture from them. I have made a large number of experiments, and have had broth cultures from several weeks to several months old, in which such forms {i.e. cylindrical or filamentous bacilli, con- taining from place to place, in an almost empty sheath, only here and there a larger or smaller stained par- ticle) abounded, yet no living sub-culture could be started from them. These stained particles do not present any uniformity either in shape, size, or posi- tion, and there would be, therefore, no justification for regarding them as spores ; besides, the death of old broth cultures containing those forms would clearly negative their being of the nature of spores. But also, by direct experiment, it is possible to show that neither in the bacilli in the fowl, nor in the cultures, is there anything present that is capable no THE GROUSE DISEASE chap. of resisting those tests generally considered indica- tive of the presence of spores. Simple but thorough drying in a thin film kills all bacilli ; exposure to a temperature of 60° C. for ten minutes sterilises the bacilli completely. Numerous experiments were made in this direction ; the result was in all cases uniform. While heating to 60° C. for five minutes was not reliable, heating to 60° C. for ten minutes in all instances killed the bacilli. From recent and old broth, gelatine, and Agar cultures numerous inoculations were made into gela- tine and into alkaline broth in tubes ; these were then exposed to 60° C. for ten minutes, placed in the incuba- tor, the first at 20° C, the latter at 35-37° C, but they all remained sterile. Broth cultures from twenty-four hours to three weeks old, and gelatine cultures from one to six weeks old, were tested for the vitality of the bacilli by establishing sub-cultures from them, then ex- posing the original cultures to 60° C. for ten minutes. After this sub-cultures were again made. While the sub-cultures made from the original culture before heat- ing proved successful, the sub-cultures made from the heated original culture remained sterile. It follows then from these experiments that there Is no evidence that the bacillus of fowl enteritis is capable of forming spores. 2. Does one mild attack of fowl enteritis protect a XIII ATTENUATION OF VIRUS OF FOWL ENTERITIS in fowl against a second attack ? It must be evident that unless this is the case, that is, unless an animal becomes refractory to a second attack by having passed through a first mild attack, a primary inoculation with attenuated virus would be useless ; it is for this reason imperative to ascertain whether, in a particular in- fectious disease, an animal having had the disease in a mild form becomes thereby possessed of immunity against a second attack. We have mentioned in a previous chapter experiments (Experiment 4) in which fowls had been the subject of inoculation with cultiva- tions of the bacillus of fowl enteritis, and had become ill but had recovered. In addition to these fowls (three in number) five more fowls had recovered from the disease after inoculation with culture — these five animals will be mentioned below in connection with other series of experiments — so that there were eight fowls that had passed through an attack of the disease but had recovered. When they had seemingly quite recovered — they were lively, fed well, and appeared in all other respects well — they were subjected to a second inoculation, some with considerable doses of a recent first broth sub-culture, that is, a broth sub-culture made from a recent gelatine culture of the heart's blood of a fowl dead of the disease ; others with blood or spleen tissue of a fowl dead of the disease. The same broth culture was used at the same time for in- THE GROUSE DISEASE oculation of two control fowls ; both these latter be- came ill on the fifth day with the typical diarrhoea, they were quiet and off their food. No control experiments were made for testing the virulence of the blood and spleen tissue, because I considered this an unnecessary repetition ; the experiments described in the previous chapter were so clear and decisive as to the virulent character of the blood and spleen tissue of a fowl that had died of fowl enteritis, that it did not require any further confirmation. The above eight fowls that were thus subjected to a second inoculation with viru- lent material showed no signs of any illness, they remained lively, fed well, and at no time showed any diarrhoea, and they remained well for weeks after, till they were discarded. It follows from these experiments that fowls that have passed through a first mild attack of the disease are possessed of immunity against a second attack. It was now most important to discover the material that could be relied upon as producing a distinct but transitory attack of fowl enteritis. The first experiments were made with broth sub- cultures from a gelatine culture of the heart's blood of the rabbit mentioned in the previous chapter (sub. 8), as having been the only rabbit out of six that had died after inoculation with broth culture. Seeing that rabbits are so little susceptible to this disease, I thought it not improbable that the bacilli taken from the body XIII ATTENUATION OF VIRUS OF FOWL ENTERITIS 113 of the rabbit might have lost some of their virulence, since the body of this animal is evidently not a favour- able medium for their growth and multiplication. On testing by experiment this supposition, it did not prove correct. Twelve fowls were inoculated with broth sub-cultures of the bacillus derived from the rabbit. The result was this — that all twelve birds had diarrhoea on the 5th or 6th day, and that nine died (between the 7th and 9th day) and only three ^ sur- vived. A broth sub-culture derived from the rabbit proved, therefore, of a considerable degree of virulence, worse than useless for protective inoculation, since 75 per cent of the animals inoculated died. Another set of experiments was this : a fowl had died of fowl enteritis, after inoculation with culture, on the loth day, that is later than usual, and I surmised that possibly the bacilli in this fowl might be of an attenuated virulence. From gelatine cultures of the heart's blood of this fowl broth sub-cultures were then made and after 24 hours' incubation at 'i^^* C. were used for the inoculation of twelve fowls. Seven of these died of typical fowl enteritis, the other five,- though ill between the 5th and 9th day, survived. 1 These three fowls were mentioned above as having been after- wards used for a second inoculation with virulent material and proved refractory. 2 These five fowls were mentioned above as having been used for a second inoculation with virulent material and proved refractory. I 114 THE GROUSE DISEASE chap. This broth culture proved, therefore, also useless for protective inoculation. The next attempts were directed towards attenu- ating virulent broth cultures by heat : ( i ) by exposing broth cultures incubated at 37° C. from 24 to 48 hours to a temperature of 50 C. for 10 minutes. Of such a culture about ^ of a cubic centimetre was injected subcutaneously into each of ten fowls. All these fowls became ill with fowl enteritis, eight died, two survived. These two were then re-inoculated with virulent broth culture, and proved refractory. (2) Of broth culture exposed to 50" C. for 20 minutes, about \ oi 2. cc. was injected into each of eleven fowls. All became ill, four died, seven survived. These seven were also re-inoculated and proved refractory. (3) Of broth culture exposed to 55^ C. for 15 minutes about l of a cc. was injected into each of eight fowls. All these fowls were quiet on the 6th, 7th, and 8th days, were off their food, but had no diarrhoea ; seven survived and became well again, ^ but the eighth was found dead on the 8th day with enlarged spleen ; cultivations made of the heart's blood proved that the animal had died of fowl enteritis. This series seemed, therefore, a considerable step in advance of the former. 1 Also these seven fowls were re-inoculated with \irulent broth culture, but proved refractory. XIII ATTENUATION OF VIRUS OF FOWL ENTERITIS 115 (4) In this series the broth culture was heated to 55° C. for 20 minutes and then inoculated in the same quantity as before into eight fowls. They were all quiet and off their food on the 6th and 7th days, but there was no diarrhoea ; on the loth day they seemed to all appearances right again. This was then the result aimed at, and it now only remained to be proved that these same fowls were capable of withstanding a second inoculation with virulent material. For this purpose a broth culture, 24-48 hours incubated at '^']'' C, was used for inoculation, two control fowls being at the same time inoculated with the same broth ; each of these ten fowls (that is the eight that had been subjects of the first inoculation and the two control fowls) received one whole Pravaz syringeful, i.e. a considerable dose. The two control fowls be- came ill and were dead on the 7th day from the typical fowl enteritis, the eight other fowls remained perfectly well. From this, I think it follows that a recent broth culture heated to 55° C. for 20 minutes can be taken to represent a fluid suited for protective inoculation. Such a broth culture when tested by sub-culture yields good and virulent growths, so that while the heating to 55° C. for 20 minutes impairs the virulence, it does not impair the vitality of the bacilli. (5) A series of experiments which deserves mention was instituted to see, whether under natural conditions ii6 THE GROUSE DISEASE chap. infection is carried from animal to animal by air, or whether, as we mentioned in a former chapter as very probable, infection is produced by ingestion — the animals picking up food from soil tainted with the evacuations of a diseased fowl. Mr. W. Cook, of Orpington, kindly placed at my disposal a plot of ground, not situated at or near his poultry-farm. This plot was divided by wire netting into two adjacent sections ; the wire netting separating these was made double, and a space or passage of about i8 inches was left free between them. Into each section were placed ten healthy fowls, which we will call lot A and lot B respectively. All fowls of lot A were then inoculated with broth sub-culture of the bacillus of fowl enteritis, the fowls of lot B remaining untouched. All of lot A were distinctly ill on the fifth day ; they were quiet and had diarrhoea between the fifth and eighth day ; seven died, three survived.^ While the disease was rife amongst lot A, one fowl escaped from lot B and found its entrance amongst lot A.- After a few days sojourning amongst them it became also ill and died of the fowl enteritis ; also a strange fowl not belonging to either of the two lots got access to lot A : ^ After a fortnight, when they seemed quite well again, they were re-inoculated, but proved refractory. 2 The two plots of ground had a covering of wire netting, but this was not perfect. XIII ATTENUATION OF VIRUS OF FOWL ENTERITIS 117 this too became ill with the fowl enteritis and died. But the nine fowls of lot B remained well many days after the disease had come to an end in lot A. So that though a wire netting separation with only 18 inches interval divided the fowls of lot A from those of lot B, the disease from lot A was not communicated to the latter fowls ; but on the other hand, the two accessory fowls that had lived with the diseased fowls of lot A in the same enclosure became infected. The nine control fowls of lot B were afterwards inoculated with broth cultures, they all became ill on the fifth day, and suffered from diarrhoea ; eight died, one survived. From what has been stated in the preceding two chapters, it is firmly established, I think, that both in the nature and course of the disease, and in the character and distribution of the bacilli, and in the susceptibility of some and non-susceptibility of certain other animals, fowl enteritis and fowl cholera are two well - differentiated diseases. As has been shown, particularly in the last chapter, the uniformity in the symptoms and the duration of the incubation period of the disease observed on a very large number of fowls — nearly five dozen fowls were experimented upon in the last five series of experiments — prove conclusively the difference between the two diseases. But I have some further experiments to record that THE GROUSE DISEASE confirm this in a striking manner, though they were undertaken with a different object. While investi- gating the action on animals of different pathogenic microbes, when introduced simultaneously or sepa- rately into the same animal, I tested also in this direction the action of the bacillus of fowl cholera and fowl enteritis. Pigeons, as we mentioned on a former page, are very susceptible to fowl cholera, but quite refractory to fowl enteritis. I inoculated [a) two pigeons with fowl enteritis culture (broth culture 48 hours old), {p) two pigeons with fowl cholera culti- vation (broth culture 48 hours old), and {c) two pigeons with a mixture in about equal parts of the same two broth cultures. The pigeons a remained well and alive, the two pigeons b and the two pigeons c were found dead after 48 hours, from typical fowl cholera. The two pigeons a were then after about ten days inoculated with fowl cholera cultivation (broth culture 48 hours old) ; both were found dead before 30 hours were over from typical fowl cholera. One fowl and one pigeon were inoculated with a broth culture of the bacillus of fowl enteritis. The fowl became ill with the typical fowl enteritis, but the pigeon remained, as a matter of course, unaffected. The fowl, though at first very ill, nevertheless did not die, but recovered gradually. After the lapse of 14 XIII ATTENUATION OF VIRUS OF FOWL ENTERITIS 119 days the fowl seemed perfectly well again ; it and the pigeon were then inoculated with broth culture of the bacillus of fowl cholera. At the same time one con- trol fowl and one control pigeon were inoculated with the same culture. Both the pigeons were dead in 1 8 hours of typical fowl cholera ; both fowls were very ill during the second, third, and fourth days, very drowsy, had copious diarrhoea, but both gradually recovered. From these experiments it follows, (i) that while both the pigeon and fowl are susceptible to fowl cholera, the pigeon in a higher degree than the fowl, this is totally different as regards fowl enteritis, since the pigeon is refractory and the fowl very susceptible ; (2) that a first attack from fowl enteritis does not protect the fowl from an attack of fowl cholera. Although the two diseases are different, the mode of their spread and the general behaviour of the two species of bacilli are similar, and therefore the rules that should guide us in the prevention of the spread of either should be the same. These may be sum- marised in saying — (i) every fowl that shows any suspicion of the disease should be at once removed, killed, and burned; (2) the remaining fowls should be at once transferred to new ground, and, if practicable. I20 THE GROUSE DISEASE chap, xiii should be subdivided in separate small lots ; (3) the ground from which the affected fowls have been removed should be turned, disinfected with quicklime, and not used for fowls for a considerable time. These seem to me the best and easiest ways to prevent the healthy fowls contracting the infection by picking up food tainted with the evacuations (full of the specific bacilli) of the diseased fowls. CHAPTER XIV "cramps" in young pheasants During my stay (June 1887) at Blairquhan, Mr. Douglas, the head gamekeeper, then in the employ of G. Bailey Worthington, Esq., called my attention to a great mortality from "Cramps" existing amongst the young pheasants then reared by him. He was in great distress on account of the helplessness in which he found himself in the matter. The utmost care, the most scrupulous attention to all details necessary in the rearing of pheasants exercised by him and those serving under him, availed nothing to neutralise or stem the progress of the disease ; daily new birds showed signs of the disease, and daily, when he in the morning went round the grounds and inspected the coops, several new deaths had occurred amongst the young birds. From what I have observed myself, the first signs of illness manifest themselves in lameness of one leg and in the unwillingness of the birds to move ; next day both legs are lame, the birds are sitting quietly, and when made to move are seen to THE GROUSE DISEASE drag, more or less, their feet along the ground ; gener- ally next day, or the day following, this condition becomes more intensified, the birds do not move at all, their eyes are closed, they do not of course feed any more, and soon after the animals are found dead. This disease is known to keepers and pheasant- breeders as the "cramps," but I think it would be more appropriate to call it paralysis, which would be more in harmony with the inability to move, though in reality it is neither the one nor the other. During the two days that I stayed at Blairquhan I saw a con- siderable number of animals thus affected or dead from the disease, and I had the opportunity of making a post-mortem examination on a good number. After- wards Mr. Douglas forwarded to me in London a con- siderable number of young pheasants that had died of the disease, and these also were carefully examined. All the birds were a few days to a few weeks old, the disease occurring most commonly during the second to third week ; and all without exception showed, as the only constant and conspicuous feature, a disease of the bones of the extremities — always of the legs, in some few instances also of the bones at the anterior extremities. The disease may be compared to an acute periostitis and osteomyelitis. The femur of both legs, and the tibia very often, showed either at the upper or the lower end of the shaft, or at XIV ''CRAMPS" IN YOUNG PHEASANTS 123 both, a localised congested state of the periosteum, often haemorrhage into this and into the surrounding muscle ; the bone itself is thinned at these places or completely dissociated either in a circular line com- prising the whole circumference, or obliquely, so much so that between the actual condition and what one would consider a fracture — simple fracture in the former, oblique or compound fracture in the latter — there seemed a complete analogy. The first few birds dead of the disease that I dissected at Blairquhan showed the fracture at the upper or lower end of the shaft of the femur and tibia, particularly the former, so pronounced that Mr. Douglas himself in the next few birds could easily discover this condition. Haemor- rhage into the periosteum and the surrounding muscle occurs oftener in the upper and lower ends of the shaft of the femur than in the tibia, and chiefly in connection with oblique fracture. I thought at first that the condition of the bones might have been produced accidentally, either by the foster-mother or by other animals attacking the little pheasants. But Mr. Douglas assured me that this is quite out of the question, and, in fact, impossible that such a thing should happen unknown to him and his assistants, the rearing being carefully watched night and day. The large number of birds that died from the same disease during June of that year, day after day, and that had 124 THE GROUSE DISEASE chap. died in previous years, notwithstanding the utmost care and attention, made it, therefore, clear that we had to deal with an epidemic disease. The principal symptom of the disease, viz. the impaired movement observed by the keepers in many parts of the country, south and north, and the cause of its appellation, viz, "cramps," made it also clear that the disease is con- nected with disease of the limbs, and it is hardly credible that this should everywhere be the same, and the result of an accident that had everywhere escaped the watchfulness of the attendants. But what did surprise me is the fact that both in the epidemic in Scotland, which I then observed, as well as in young pheasants sent to me through the Field from the south of England that had also died of the "cramps," the remarkable condition of the bones — femur and tibia — should have entirely escaped notice. And, moreover, a correspondent of the Field thought it "absurd" my saying that the young pheasants dying of the " cramps " have this condition of the bones, viz. partial and complete dissociation of the ends of the shaft. I can only repeat that in no single instance of young pheasants dying of the " cramps " have I missed this condition, but I must add that I know of an epidemic disease among young pheasants leading to death in which this condition is not found, and which animals do not die of the "cramps," but are XIV ''CRAMPS'' IN YOUNG PHEASANTS 125 affected with a localised necrotic disease of the mouth, throat, eyelids, and skin of the lips, contracted from their foster-mothers, the hens, affected with a well- known chronic localised necrotic thickening of the mucous membrane of the tongue and throat. The two diseases, "cramps" and necrotic stomatitis and dermatitis in young pheasants, are in symptoms and anatomical changes utterly distinct diseases. As mentioned above, the principal anatomical change in " cramps " of young pheasants is found in the periosteum and the bone near the ends of the shaft of the femur and tibia, occasionally but rarely also of the humerus. On making sections through the affected parts of the bone and its periosteum, the changes are those which constitute periostitis and osteomyelitis. The vessels of the periosteum at the ends of the shaft are engorged with blood, extravasated blood being noticed in the tissue of the deep layer of the periosteum ; this, at the same time, is thickened and crowded with round - cells or inflammatory corpuscles. The inflammation or infiltration with round - cells or leucocytes extends into the bone, all Haversian spaces and Haversian canals being densely infiltrated with them, the bone matrix either totally or partially destroyed, absorbed ; the infiltra- tion with round -cells of the bone extends into, and 126 THE GROUSE DISEASE chap. forms a continuity with, the inflamed central marrow, this showing its blood-vessels much distended by blood and its tissue a continuous mass of round-cells. From the places of greatest inflammation, i.e. at the ends of the shaft, the engorgement of the vessels and the infiltration with leucocytes of the bone and the central marrow extend a little way beyond. This condition of periostitis and osteomyelitis is present in all the cases which I examined, and the rarefaction and absorption of the bone at the end of the shaft and the subsequent dissociation is hereby easily explained. In cover-glass specimens made of the inflamed tissues, and in sections through the inflamed parts, a few minute oval or cylindrical bacilli are constantly met with (they require for demonstration prolonged staining of the sections — a couple of hours and more in methyl blue aniline water ; or staining for half an hour to an hour in gentian violet aniline water shows the bacilli well). Of course it is necessary after the staining to well decolorise the section in methylated spirit in order to remove as much as possible the dye from the tissue cells, the bacilli retaining the dye more persistently. From several cases cultivations were made ; with sterile scissors the bone is laid bare, with another pair of sterile scissors an incision is made into the inflamed part, then with a sterilised platinum loop a small particle of the marrow is removed and trans- XIV "CRAMPS" IN YOUNG PHEASANTS 127 ferred to test-tubes containing nutrient gelatine and nutrient Agar set with slanting surface, and is well rubbed over the slanting surface. The gelatine tubes are incubated at 20° C, the Agar tubes at 36-37° C. All the tubes thus inoculated developed several colonies of one and the same species of bacilli. In the gelatine tube I noticed after 2-3 days the first indications of the colonies in the shape of minute translucent greyish droplets ; in Agar the colonies are noticeable after one day's incubation. The colonies, even when well developed, are from the size of a pin's point to that of a millet seed. Streak sub- cultures on gelatine are very characteristic, this being due to two facts — {a) the slowness of the growth, the line of inoculation becoming marked as a line of small greyish transparent droplets, not before two to three days ; (b) as the droplets enlarge they have a tendency to become more or less confluent, but they always remain recognisable as individuals — there is not a con- tinuous band-like growth produced, as in most streak cultures of bacilli. The same applies to Agar streak cultures, only of course the growth is faster, but also here the individuality of the colonies remains more or less preserved even where the colonies are situated closely and uninterruptedly side by side. In old gelatine- and in old Agar cultures the colonies be- come whitish, raised, knob-like, their outline slightly 128 THE GROUSE DISEASE chap. crenate. In stab cultures the line of inoculation becomes marked as a grey line made up of separate droplets. The gelatine is never liquefied by the growth. In fresh specimens made of the colonies, i.e. ex- amining a particle of the growth in sterilised salt solution or in broth, the bacilli are without motility ; in such specimens, as also in cover-glass specimens dried and stained, the microbes are short bacilli rounded at their ends, many are short ovals, some cylindrical ; there are always some cylindrical and rod-like bacilli present which are thicker in the middle portion than at the ends, they look, therefore, spindle- shaped ; they occur singly or often as dumb-bells. In specimens made of gelatine cultures the bacilli differ somewhat from those grown on Agar, inasmuch as in the former most of the microbes are short ovals, and in stained specimens show at each end in the trans- parent sheath a stained granule. These look very much like the typical fowl cholera bacilli ; but also in speci- mens of gelatine culture there are some which are rod-shaped or even distinctly cylindrical ; but not so numerous by any means as in Agar cultures. In these latter the majority are rod-shaped or cylindrical, and amongst them occur such as are characteristically spindle-shaped ; but also in Agar cultures there occur a good many that are short ovals. Figs. 52 and 53 XIV ''CRAMPS" IN YOUNG PHEASANTS 129 show well the differences between the bacilli in gela- tine and Agar cultures respectively. Measurements made in dried and stained cover- glass specimens give the following numbers : thick- ness about 0.3 micro-millimetres ; there is no differ- ence in this respect between the bacilli grown on gelatine and those on Agar ; the cylindrical spindle- shaped bacilli are thickest and measure as much as 0.4 to 0.5 /A in the thickest portion ; the length of the majority of the bacilli from gelatine cultures is 0.4 /i to 0.6, a few 0.8 /i, very few more than this — 1.6 ix. In Agar cultures the majority are 0.6 to 0.8 to i.o /x long, some up to 1.6 /i. The cultures and sub-cultures which I prepared from the young pheasants in June and July 1887, and which I described in the Field, July 30, 1887, I put away^ during the following vacation, August and September, in order to resume the inquiry on my return towards the latter half of September, but unfortunately, to my great discomfiture, they were all found dead ; every tube put aside, though it re- mained free of all accidental growth and looked in all respects preserved, was tested by sub-cultures, but with no result ; none could be started from them, and therefore all further experimentation with them came to an end. I have not been able hitherto to procure 1 A few experiments on guinea-pigs and mice by subcutaneous inoculation of culture did not yield any definite result. K I30 THE GROUSE DISEASE chap, xiv new material, i.e. young pheasants affected with the " cram])s," and am, therefore, unable to say anything further on this subject. But of this I am clear, that the disease is in pathological respects a well-defined, acute periostitis and osteomyelitis, and that it is associated with a definite and well -characterised species of bacilli, present in the inflamed bone, and obtainable in all cases by cultivation. EXPLANATION OF ILLUSTRATIONS All Figures are reproductions from Photograms, except Figures 15 and 16, which are from drawings by Mr. M. H. Lapidge. Figures 10, 11, 14, 17, 18, 19, 22, 32, 33, 34, 36, 41, 42, 43, 44, 48, and 50, are by Mr. Andrew Pringle, the remainder by Mr. E. C. Bousfield. l-'lG. 1. Section through the Lung of (Irouse dead of the Grouse Disease. Magnifying power about lo. The air-cells appear solid, being filled with blood and exuda- tion. Two large air-spaces are shown, filled with homogeneous exudation. Fig. 2. Section through the Liver of Grouse dead of the Grouse Disease. Magnifying power looo. a. Part of a large blood-vessel filled with blood-corpuscles. I?. Capillary blood-vessel plugged with the bacilli. c. Liver cells. Fig. 3. A similar preparation as in Fig. 2. Magnifying power 1000. Several capillary vessels are shown, plugged wdth the bacilli. Fig. 4. Section through the Lung, showing a mass of capillary blood- vessels plugged with the Bacilli. Magnifying power 650. Fig. 5. Plate cultivation of the Bacillus of Grouse Disease. Natural size. Each of the small dots is a colony growing in the depth. Each of the larger white patches is a colony on the surface of the gelatine. Fig. 6. Streak-culture on gelatine of the Bacillus of Grouse Disease. Natural size, Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig, 11 Fig. 12 Fig. 7. Stab - culture in gelatine of the Bacillus of Grouse Disease. Natural size. Fig. 8. Shake-culture in gelatine, showing gas bubbles in the depth of the gelatine. Natural size. Fig. 9. Cover-glass specimen of the Lung Juice of Grouse dead of the Grouse Disease. Magnifying power 1000. One dumb-bell of the bacilli is shown and several blood discs. Fig. 10. Cover-glass specimen from a Culture in gelatine of the Bacillus of the Grouse Disease. Magnifying power 1000. Fig. II. Cover-glass specimen from a Culture in gelatine of the Bacillus derived from the blood of an inoculated Mouse. Magnifying power 1000. Fig. 12. Cover-glass specimen from a "Salted" Culture of the Bacillus of Grouse Disease (see p. 31). Magnifying power 1000. Fig. 13. Cover-glass specimen of the Lung Juice of an infected Mouse. Magnifying power 1000. The baciUi are present in large numbers, singly and in masses. Fig. 14. A similar preparation as in Fig. 13. Magnifying power 1000. A swollen leucocyte filled with the bacilli. Fig. 15. From a section through the Liver of Grouse dead of the Grouse Disease, showing capillary blood-vessels filled with the Bacilli. Low power. Fig. 16. From a similar preparation as Fig. 15, but more highly mag- nified. Fig. 17. Cover-glass specimen of the blood of an infected Guinea-pig. Magnifying power 1000. Numerous bacilli are seen, free and enclosed in leucocytes, the latter much swollen and disintegrating. Fig. 18. Cover-glass specimen of the blood of an infected Ammer. Magnifying power 1000. Amongst the blood-corpuscles are very numerously the bacilli. Fig. 13 • ^ Fig. 16 Pig. 17 Fig. 18 ar .aiH -i .jii"^ Fig. 19 Fig. 20 Pig. 21 Fig. 22 Fig. 23 Fig. 19. Cover-glass specimen of the Lung Juice of an infected Ammer. Magnifying power 1000. Numerous bacilli are seen amongst the blood-corpuscles. Fig. 20. Cover-glass specimen of the Lung Juice of an infected Ammer. Magnifying power 1000. Amongst the blood discs (of which only the nucleus is shown) there are isolated bacilli. Two leucocytes include in their substance the bacilli. Fig. 21. Cover-glass specimen from a cultivation of the Bacilli derived from the blood of an infected Ammer. Magnifying power 1000. Fig. 22. Cover-glass specimen of the Heart's Blood of a Grouse dead of the Autumnal Grouse Disease. Magnifying power 1000. Amongst the blood discs (of which only the nucleus is shown) are seen the bacilli. Fig. 23. Cover-glass specimen of the Subcutaneous CEdema Fluid of a Guinea-pig infected with the .^■Erobic CEdema Bacilli. Magnifying power 1000. Fig. 24. Similar preparation as in Fig. 23. Magnifying power 1000. Fig. 25. Cover -glass specimen from an Agar culture of the Orotic GEdema Bacillus. Magnifying power 650. Fig. 26. Similar specimen as in Fig. 25, but from a gelatine culture. Magnifying power 1000. Fig. 27. Leucocytes of the Subcutaneous CEdema Fluid of an infected Guinea-pig ; the cells contain the Bacilli in their interior. Mag- nifying power 1000. Fig. 28. Plate culture of the .^robic CEdema Bacillus. The small points are colonies in the depth ; the large white patches are colonies on the surface of the gelatine. Natural size. Fig. 29. Streak culture on gelatine of the /Erobic GEdema Bacilli. Natural size. Fig. 30. Stab-culture of same. Natural size. Fig. 25 Fig. 26 Fig. 27 Fig. 28 1^" .- "it- Fig. 29 Fig. 3C Fig. 32 Fig. 31 Fig. 33 Fig. 34 yig 86 Fig. 36 Fig. 31. Shake-culture of same, showing a few gas bubbles in the deeper parts of the gelatine. Natural size. Fig. 32. Blood of Fowl dead of Fowl Cholera. Numerous Bacilli of Fowl Cholera amongst the blood-corpuscles. Magnifying power 1000. Fig. 33. Blood of Pigeon dead of Fowl Cholera. Magnifying power 1000. Fig. 34. Blood of Rabbit dead of Fowl Cholera. Magnifying power 1000. Fig. 35. Plate culture in gelatine. Natural size. The colonies are all extremely minute dots. Fig. 36. Cover-glass specimen (impression specimen) of a colony of the Fowl Cholera Bacillus. Magnifying power 1000. Fig. 37. Section through the Liver of a Fowl dead of Fowl Cholera. Magnifying power 1000. Many blood-vessels contain the bacilli very numerously. Fig. 38. Section through the Liver of a Rabbit dead of Fowl Cholera. Magnifying power 1000. Fig. 39. Streak culture on gelatine of the Fowl Cholera Bacilli. Natural size. Fig. 40. Stab-culture of same. Natural size. Fig. 41. Blood of Fowl dead of Fowl Enteritis. Magnifying power 1000. Very few baciUi amongst the blood-corpuscles. Fig. 42. Cover-glass specimen of Spleen Juice of a Fowl dead of Fowl Enteritis. Magnifying power 1000. Several baciUi amongst the tissue cells. Fig. 37 Fig. 38 Fig. 39 Fig. 40 Fig. 41 Fig. 42 Fig. 43 Fig. 44 Fig. 46 I'm Fig. 46 Fig. 47 Fig. 48 Fig. 43. Cover-glass specimen of the Intestinal Mucus of a Fowl dead of Fowl Enteritis. Magnifying power 1000. The bacilli are present in great numbers and in pure culture. Fig. 44. Cover-glass specimen of the Intestinal Mucus of a similar Fowl as in Fig. 43. Magnifying power 1000. Fig. 45. Plate cultivation in gelatine of the Bacillus of Fowl Enteritis. Natural size. The small dots are colonies in the depth ; the large patches are colonies on the surface of the gelatine. The difference between the plate cultivation of the bacillus of Enteritis and that of the bacillus of Fowl Cholera (Fig. 35) is obvious. Both plates were made at the same time, and were kept under precisely the same conditions. Fig. 46. Streak culture on the surface of gelatine of the Bacillus of Fowl Enteritis. Natural size. Fig. 47. Stab-culture of same. Natural size. Fig. 48. Cover-glass specimen, — impression of a Superficial Colony from a plate culture, the margin of a Colony being shown here. Magni- fying power 1000. Fig. 49. Cover-glass specimen from a culture on gelatine of the Bacillus of Fowl Enteritis. Magnifying power 1000. Fig. 50. Cover-glass specimen from an old broth culture of the Bacillus of Fowl Enteritis, showing involution forms and degenerating filaments of the Bacilli. ■ Magnifying power 1000. Fig. 51. Section through the Liver of a Fowl dead of the Fowl Enteritis. Magnifying power 1000, showing numerous bacilli in the capillary blood-vessels, these latter being seen cut across. Fig. 52. Cover-glass specimen of an Agar culture of the Bacillus of " the Cramps " of Young Pheasants. Magnifying power 2000. Fig. 53. Cover-glass specimen of a gelatine culture of the same Bacillus. Magnifying power 2000. The difference in the shape of the bacilli between those from an agar- and those from a gelatine culture is striking. Fig. 49 Fig. 30 Pig. 51 Fig. 52 Fig. 53 MESSRS. MACMILLAN & CO.'S PUBLICATIONS. WORKS BY THE SAME AUTHOR. MICRO-ORGANISMS AND DISEASE. An Introduction into the Study of Specific Micro-Organisms. Illustrated. Third Edition, Revised. Crown 8vo. 6s. ACADEMY : — "No present line of medical research is so likely to prove fraught with benefit of diminishing disease and spreading health as that to which Dr. Klein's little book otfers an introduction, lucid and concise. . . . 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