1174 means
of
determining tuberculous meningitis.
dermatitis in man it is noted that there were certain distinctions between this and the protozoan dermatitis, the protozoa developing by sporulation, whilst the yeast cells multiplied by gemmation. The third paper is devoted in the main to the proof that most of the parasites described in many so-called parasitic lesions of the skin are forms due tchanges in the nuclei and protoplasm of the epithelial cells, and that they are not blastomyces or protozoa at all, and he points out that these bodies are found in simple skin diseases, sometimes in as great numbers as they are in cancer, that therefore the etiological relation must be slight and that they are rather the result of changes in the epithelium than the cause. It is not necessary here to follow Mr. Gilchrist through the whole of his reasoning; but for those who take a special interest in the subject of parasitic, and supposed parasitic, infection of the skin we commend these papers as being the work of a careful and original observer.
It is of value
to distinguish between the varieties of meningitis in order to determine if tuberculous meningitis is recovered from. 8. In the normal fluid a faint trace of albumin is usually
about one-fif tieth of one per cent., or less, by quananalysis. In meningitis the amount of albumin is increased and has varied from one-thirtieth to one-tenth of one per cent. 9. In one case a diagnosis of general infection with the staphylococcus pyogenes aureus was made from cultures taken from the cerebro-spinal fluid.
present, titative
STREET NOISES. THE London County Council have resolved that the Local Government and Taxation Committee should further consider and report with a view to the mitigation or suppression of such street noises as constitute a public nuisance. This is good news. As we have said upon many previous occasions the necessary noises of London are bad enough and it is time that the wholly unnecessary ones should be suppressed. We need not specify them again, and perhaps when the noise question has been settled the Council will take in hand the matter of bone and offal carts going about the streets all day
long.
-
THE
PROPHECIES OF BACILLI. A CORRESPONDENT sends
us the following extract from Aly Pasha," who was Governor of Janina about beginning of the century :-
OF THE SOCIETY.
PATHOLOGICAL
ONE of the medical events of the past week was the celebration, on Tuesday last, of the jubilee of the Pathological Society of London by a conversazione at 20, Hanover square. The large attendance of members and guests testified to the
-
life of
JUBILEE
the the
" Aly Pasha ’could not help laughing when the French consul [Mr. Fouqueville] informed him that one of the professors at the College of Janina asserted that the lake [the subject of the conversation] ran underground, and that it formed the Vistriza [probably a river]. These people,’ replied he, ’never see things like others. Yet he has been here for some time, but, like his brethren, he prefers adhering to old traditions rather than give himself the trouble of investigating facts. I know some (looking at his Lieutenant-General) who have a great talent for this ingenious art of story-making; what is your opinion, wise one?’ [viz., the Lieutenant-General]. The Lieutenant-General, quite disconcerted, could not answer a word.That man,’ continued Aly,’is one of those who see in the dark. Would you believe it ? He pretends that the plague is composed of a vast number of minute animaleulae. which would be visible through a magnifying-glass, if one could be procured of sufficient power."’ Bacteriology as a more or less exact science is yet very young, and probably all that has been discovered as to the nature and work of these organisms is as nothing to what remains undiscovered. But although the last thirty years have seen such important work done in this field it is interesting to note how for centuries back the idea of disease being caused by minute organisms has been floating in men’s minds. Long before the days of Aly Pasha’s friend we find references to germs and animalcule as being possible causes of disease. To say nothing of Harvey, Leuwenhoek and the early microscopists described small bodies and hinted at the possibility of diseases being caused by their Francisco Redi, born 1626, also refers to the agency.
!i
interest taken in this function as well as to the well-earned appreciation of the work which this society has done. In his able address, delivered with marked oratorical effect, the President, Mr. Butlin, paid a tribute to the influence the society has exerted in promoting the study of morbid anatomy and pathology, and although he eemed to in dicate that things are tfnding to a change in the field of operations which may have the effect of diminishing interest in the proceedings, he would be the last to admit that a society such as this should wholly cast aside the kind’ of work upon which its reputation has been made. It ought to be possible to incorporate new lines of research without osing touch of the older and more widely studied branch Morbid anatomy and histology are not of pathology. it must not be forgotten that theand exhausted, yet Pathological Society has, by the encouragement given to these pursuits, often been the means of obtaining valuable and accurate records from those engaged in them During its fifty years of existence many who have since risen to eminence in medicine and surgery have owed their first introduction to the notice of the profession to this society. Its published transactions no doubt reflect the’ gradual evolution of pathological doctrine, but at the sametime they embody the observations of some of the most gifted minds. A society whose meetings have seen amongst themost constant attendants and contributors such men as
matter.
Jenner, Bristowe, Quain, Peacock, Hulke, Hutchinson, Hilton Fagge, Moxon, Wilson Fox, Bastian, Gawen Sutton, PARASITIC PROTOZOA IN THE SKIN. Murchison, Gull, De Morgan, Prescott Hewett, Dickinson, IN a series of reprints from the Johns Hopkins Hospital Holmes, and Greenhow, to name but a few, must be able to Reports, Vol. I.; Mr. T. C. Gilchrist, M.R.C.S., L S.A., embrace all branches of the science with which it deals. describes " two cases of protozoan (coccidioidal) infection and ought to enjoy perpetual vitality. of the skin and other organs"; "a case of blastomycetic dermatitis in man" ; a series of "comparisons of the two varieties of protozoa, and the blastomyces found in THE CONNECTING BRIDGE BETWEEN EPITHELIAL CELLS. the preceding cases, with the so-called parasites found in IN a late number of Du Bois Reymond’s A’l’cltiv S. Garten various lesions of the skin " ; " two cases (including one in the negro) of molluscum fibrosum, with the pathology " ; gives the results of his observations on the bridges of protoand the pathology of a case of dermatitis herpetiformis plasm which extend from one cell to another, and are: (Duhring)." The first paper is of interest as indicating the i generally considered to aid in holding the tissues together and in enabling the pabulum of the cells to reach them enormous development of protozoa in an acute protozoan a:Eection, these organisms being very readily demonstrated, through the spaces they form. He investigated the granulawhilst the second point of interest is that the two patients tions that form after removal of the epidermis, and having: ____
had lived under similar conditions and in similar regions, the Azores and California. In the second case of blastomycetic
complete cicatrisation to be effected the whole area. excised and fixed in Flemming’s fluid. He was satisfied
allowed was