U» S. DEPARTMENT OF AGRICULTURE. BUKBAU OF ANIMAL INDUSTKY. SPECIAL REPORT ON THE EMD RESULTS OF EXPERIMENTS CONDUCTED UNDER THE DIRECTION OF DR. D. E. SALMON, CHIEF OF THE BUREAU OF ANIMAL INDUSTRY. BY THEOBALD SMITH, Ph. B., M. D. PUBLISHED BY AUTHORITY OF THE SEOKETARY OF AGRICULTURE. WASHINGTON: GOVERNMENT PRINTING CFFi'JE. 1891. NOV 141906 i).ofa TABLE OF CONTENTS. Page. Letter of transmittal 7 Investigations concerning the nature and etiology of swine plague 9 Introductory eculiar disease of the liver and generalized jaundice. Two inoculated into the lung tissue through the right chest wall re- mained unaffected. The liver in these cases was greatly enlarged and so firm that when removed from the bodj' there was no change of form. There was no obstruction to the flow of bile in the bile ducts. The disease of the liver tissue itself was shown in sections of cases 289 and 375 to be due to inflammatory foci within the lobules. In some of these foci the pa- renchyma cells were still visible, but very feebly stained ; the trabecular arrangement was destroyed j the nuclei of the cells very much shriveled or absent. In other foci the i)arenchyma was replaced by numerous round cells. From these observations it would seem that the disease consisted of necrosis of a mass of hepatic cells followed by round cell infiltration. These foci varied in size from one-eighth to one-half the area of the lobule. Almost every lobule was affected, either several small areas or one large area of disease being present in each, situated usually near the periphery. In No. 375 there was also very extensive cellular infiltration beneath the capsule.* That the disease was induced by the inoculation can not be very well denied in view of the facts in the case. The animals used were from four difl'erent lots purchased from four diflerent owners.t No other animal in these lots died with these lesions of the liver. The inocula- tions must, therefore, be considered as the direct cause of the fatal result. These experiments are in so far remarkable as future subcutaneous inoculations with swine-plague bacteria from other sources, with one exception, produced no effect. 1 have not observed this disease. since the time these experiments were made. The only explanation which can be made is that these varieties of swine-plague bacteria had a slightly different pathogenic power which manifested itself in the man- ner described. * Much ill-considered criticism has beeu leveled at these expcrimeuts and results by F. S. Billings, and they are, therefore, presented again simply to show the im- fouuded character of these criticisms. While the term cirrhosis used in the earlier reports may not have exactly expressed the diseased condition of the liver, it should also be remembered that the held of comparative patliology is not sufficiently devel- oped to aid us in choosing terms or in finding certain diseases already described and named. tNos. 287-294, bought June 1, 1886, when 8 weeks old, from Mr. M. ; Nos. 329-335, bought Aug. 27, 1886, when 8 weeks old. from Mr. B. ; Nos. 303-367, bought Oct. 18, 1886, when 8 weeks old, from Mr. J. ; Nos. 368-382, bought Oct. 18, 1886, when 8 weeks old, from Mr. J. F. 23 TIL Toward the close of 1880* Dr. Paaren sent to the Bureau portions of lungs from Oerro Gordo Oounty, Iowa, These i)ortions indicated con- solidation of the lung tissue with necrotic foci and exudative pleuritis. By inoculation into mice and rabbits swine-plague bacteria were ob- tained, which, reinocnlated in pure culture, produced death within 24 hours. The bacteria, very abundant in the internal organs, showed distinctly the polar stain. f They did not diUer in any respect from the bacteria found in Illinois, excepting in their greater virulence on the smaller experimental animals. Two pigs inoculated subcutaneously with' 5 cubic centimetres each did not manifest any signs of disease. IV. In February of 1887 an outbreak of swine disease came under obser- vation which showed conclusively the transmissibility of the lung dis- ease and the bacteria which are the cause. The disease was associated in every case with pneumonia and pleuritis of a more or less severe character. In the course of the disease casea- tion of the involved lung tissue was frequently observed. Intestinal lesions of a kind hitherto observed but once before^ were present in the earlier cases. These investigations have been criticised by F. S. Bil- lings, if his statements deserve the name of criticism, because, in addi- tion to the swine-plague bacteria found in almost every case, hog-cholera bacilli were detected in the later cases. It is difficult to discover from his statements which of the two bacteria he objects to. His own report leaves us wholly in the dark which kind he himself has found in Ne- braska, owing to the ambiguous manner in which the bacteria found by him have been described. We may therefore pass over these criticisms and briefly summarize the investigations§ which have since been con- firmed by much more extended ones. On January 31 a small number of pigs were purchased from a farm adjoining the Experiment Station for the purpose of testing the effect of different cathartics on the healthy pig. The animals had been pur- chased from this farm because no disease had existed there for several years. These pigs (Nos. 402-406, inclusive) were put in a pen by them- selves. On the following day one (No. 400) was found dead with exten- sive ulceration of the large intestine, but no lung disease. This occur- rence of course spoiled the entire experiment as i^lanned. The disease was regarded as hog cholera by me, although I did not examine the *L,c.,p.92. t For the meaniug of tliis expression, see p. 85. t Report of the Bureau for 1886, p. 06. sS For a full account of the autopsy notes and bacteriological examination, see report of the Bureau for 1887, p. 86. 24 animal or make cultures, being engaged in other work at the time. An- other fact which led to the supposition that this disease was different from the disease which appeared later in the other animals of this lot was told by the owner. Nos. 405 and 406 were the only pigs which had not been confined in pens, and which, therefore, may have been ex- posed to infection on the farm which did not reach the i^enned animals. At the time No. 400 died (February 1), the other animals appeared well. Some of these were distributed into small pens by themselves and fed different doses of cathartics. Meanwhile no other animal of this lot died until 15 days later, when 403 died. The following table gives information concerning the rest: Pigs. No. 406 No. 403 No. 405 No. 402 No. 404 Date of death. Remarks. Feb. 1 ] Intestinal ulcers. Feb. 16. .. Veutral lobes of liiiifrs diseased : croupous iuflamiiiatiou of large intestine. Feb. 18- .. Extensive pneumonia and pleuriiis ; croupous inflammation of large intestine. Feb. 19 .. Slight pneumonia ; croupous inflammation of large intestine. Not afl'ected. As regards the bacteriological examination the following may be said : No. 406. None made because disease supposed to be hog cholera. No. 403. None made for same reasoQ. No. 405. Swine-plague bacteria found in lungs; other organs not examined. No. 402. Bouillon cultures made from pleural shreds, spleen, liver, and blood. Gelatine cultures made from blood and liver. Nearly all the cultures from No. 402 contained a large spore-bearing bacillus which I have frequently found since then in cases of swine dis- ease having hemorrhagic lesions. Cultures from the liver and blood contained also swine-plague bacteria which were isolated by rabbit inoculation. It will be noticed that in the later cases, Nos. 403, 405, and 402, the large intestine was the seat of a peculiarly intense inflammation, ac- companied by the exudation of circumscribed masses of fibrin easily lifted away from the mucosa, leaving a paler, slightly depressed spot showing no necrosis of tissue. In the rectum this exudate formed a continuous sheet also easily removable. It might be claimed that the feeding of a dose of aloes or salts may have caused this peculiar intestinal inflammation. This claim, however, is effectually disposed of by case No. 407. This animal, one of the same herd, had not been taken from the neighboring farm. It was found dead February 22, and brought to the Station for examination. The notes of this case are reproduced because it must be considered the most trustworthy of all. No. 407. Pig of medium size, white ; skin of abdomen, chest, neck, and back deeply reddened. Fat abundant, slightly reddened along" the linea alba. Superficial inguinal glands slightly enlarged ; spleen dotted with elevated blood-red points.* * These points are found in .spleens of healthy swine. 25 stomach ami (liiodouum uormal, tlio latter bile-staiuod. In ileiiiii Pcyor's patches are visible as , in in- fected pen. Fed viscera of 406 Febrnary 2, in infe(;ted pen. No. 3913. Inocnlated with swine plague bacteria (Iowa) January 25; placed in the infected pen March 28. No. 397. Fed viscera of 378 in pen 7 March 24. In 372, 392, 397, both hog cholera and swine plague bacteria were found. Their presence in the old infected pen or their contact with pigs kept there will account for this double infection. The facts brought out by this investigation corroborated those al- ready brought out in the investigations of the preceding year. They showed the existence of pneumonia and pleuritis, together with intesti- nal disease in most of the animals examined, associated with bacteria readily distinguished from hog-cholera bacteria. They also demonstrated the trausmissibility of the pneumonia to other pigs, and in these pigs the same bacteria were found. If the lesions of the large intestine, as observed in the early cases, were due to hog-cholera bacilli, why were these bacilli not found ex- cepting in one late case in which there may have been an accidental infection of the rabbit inoculated ? Why were hog-cholera bacilli read- ily detected in the later cases kept in the infected pen ? While these investigations do not prove that the swine-plague bac- teria were the cause of the intestinal lesions, they also do not seem to show any relationship between these lesions and hog-cholera bacilli. This question of the relation between intestinal lesions and swine- plague bacteria will be discussed farther on.* V. In September, 1888, an outbreak of swine disease near Baltimore, Md., came to our notice. Throe pigs from one herd and one from another herd were examined. The following syno])sis of the cases may be of interest, the full account being given elsewhere. t Pig No. 1. Broncho-pneumonia; exudate on mucosa of rectum and lower colon ; swine-plague bacteria detected in lungs and rectum ; hog- cholera bacilli in si)leen. Pig No. 2: Three-quarters of both lungs hepatized ; ulcers in ileum and colon; swine-plague bacteria in lungs; hog-cholera bacteria in spleen. Pig No. 3: Extensive pneumonia and pleurisy; ulceration of large intestine; swine-plague bacteria in lungs; hog cholera bacteria in spleen. Pig No. 4 : Slight atelectasis of lungs ; ulcers in large intestine ; swine-plague bacteria in large intestine; hog-cholera bacteria in spleen. Pig No. 3 was taken to the Experiment Station, where it became the starting point of a mixed outbreak of hog cholera and pneumonia. * P. 102. t Report of the Bureau, etc., 1887-'88, p. 121. 28 VI. Duriag iJ^ovember, 1888, the writer was directed to make some in- vestigations in Iowa,* where swine diseases at that time were prevail- ing to a considerable extent. In the vicinity of Mason City pigs from three herds, some distance apart, were examined. The lesions observed were both intestinal and pulmonary. The intestinal lesions, though varying considerably in appearance and intensity, did not differ, on the whole, from those observed in hog cholera. The lung lesions varied considerably in character and extent, from a slight collapse in a single lobe to almost total hepatization, accompanied by exudative pleuritis. The investigations were limited to post mortem examination and cultures from the spleen. From each spleen small bits of tissue were removed to two tubes of agar. In addition, portions of diseased lung tissue and ulcerated mucous membrane from the large intestine were cut out and transferred to sterile test tubes plugged with cotton wool for inoculation into rabbits. Ten pigs were examined in this manner. In but one case did the spleen pulp show any bacteria under the microscope, and in this case they were streptococci, tn but one agar tube of the spleen series did anything develop. This was a motile bacillus, resembling the hog cholera bacillus in form, but differing in its growth on agar, in bouillon, and in gelatine, this growth being in all cases more vigorous. Of two mice and one rabbit inoculated, one mouse died in 5 days. The lesions were indefinite and did not point to hog cholera. Moreover, the other mouse and the rabbit remained unafiected. With particles of diseased lung tissue and mucous membrane from some of these cases a considerable number of rabbits and some mice were inoculated. Of those that died some contained no bacteria of any description. Those inoculated from three cases out of ten died of swine plague since these bacteria were found. A few survived the inoculation. The nature of this disease was not, therefore, cleared up by these in- vestigations, since the results were not uniform. While in hog chol- era the bacilli are present in the spleen, and readily obtained therefrom by cultivation, they were not present in the spleens of these ten cases. As already stated, swine-plague bacteria were obtained from three cases. They were quite virulent, as the inoculations upon pigs show. Thus one pig, which received 9 cubic centimetres of a bouillon culture into the right lung through the chest wall, died within 20 hours of septi- caemia, the injected bacteria being present in the spleen in considerable numbers. Another pig, which received a subcutaneous injection at the same time, remained well. Somewhat later two pigs received into the right lung 1^ cubic centimetres and 3 cubic centimetres of a bouillon * Report of the Bureau of Animal Industry for 1887-'88, pp. 135-145, wLore a de- tailed account of this work is given. 29 culture. The one which had received the smaller dose was sick for a time, but recovered. It was killed U months after the inoculation, and both lungs were found everywhere adherent to the chest wall. In the pericardial sac a considerable quantity of pus had collected, in which the injected bacteria were still present, as determined by cultures. The animal which had received the larger dose became very ill and was killed 5 days after inoculation. At the autopsy were detected par- tial hepatization of the right lung, with extensive exudative pleuritis and pericarditis. The two following cases, which have not yet been published, demon- strate very strikingly the virulence of these bacteria. The growth on a number of agar cultures about 9 days old was scraped off and trans- ferred to sterile bouillon until a turbid suspension was obtained. This suspension was prepared because these bacteria multiply very feebly in bouillon, and when the latter is used as the injecting fluid very few bacteria are actually introduced into the body. This turbid suspension was used to inoculate 2 pigs. No. 120 received into the abdomen 2 cubic centimetres; No. 143 into the right lung through the chest wall but 1 cubic centimetre. The inoculation was made March 11, 1889, over 3 mouths after the bacteria had been obtained from the diseased swine. No. 120. Essex female, 5 months old. Into the right lung through the chest wall, 2 cubic centimetres of above suspension injected with hypodermic syringe, 6 p. ra. March 11. Found dead early next morning. Subcutaneous inguinal glands partly hemorrhagic. From the cut subcutaneous vessels of right side liquid blood oozes out. In abdomen the solitary follicles of large intestine appear as bright red circular si^ots three-sixteenths inch diameter, as seen from serosa. Spleen slightly engorged. Large quantity of blood-stained serum iu right pleural sac. The needle had punc- tured the convex surface of principal lobe, where there was some infiltration of blood. A thin layer of fibrin on convex surface of the small anterior lobes and on pericardium. A few collapsed lobules along free border of these lobes. In stomach, the mucosa of fundus is deejily reddened over an area of 3 to 4 square inches; in this area two hemorrhagic spots. The npper half of duodenum with mucosa intensely reddened. Contents somewhat blood-stained. All Peyer's patches in the small intestine from duodenum to ileo-csecal valve are intensely reddened, the follicles appearing as blood-red points. On some patches, hemorrhages on the surface. Considerable number of ascarides in small intestine. In large intestine the lymphatic patch near valve likewise reddened. Mesenteric and mesocolic glands hyperajmic. Kidneys very much congested. The glomeruli appear as minute blood-red points. Small quantity of urine in bladder loaded with albumen. Blood fails to clot. Iu the spleen large numbers of swine plague bacteria. No. 143. Essex male, ,5 months old. Injected into abdomen 1 cubic centimetre of turbid suspension of swine plague bacteria, March 18. Animal dies 40 hours after inoculation. Inguinal glands slightly swollen and hyperamic. In abdominal cavity pe'ritoneum pale pink, all minute vessels injected. Shreds of a viscid grayish exudate attached to abdominal walls, contiguous coils of intestines, and stomach. Considerable opaque reddish serum present. Vessels of diaphragm injected; some ecchymoses observed. The shreddy exudate also present. The mesentery (Edematous, especially where 30 attached to intestines. The walls of a portion of the lower small intestine very mnch swollen, serosa dark red. On the mucosa which is congested a yellowish, pasty exudate loosely rests, occupying the side to which mesentery is attached. This exudate is made up of leucocytes imhedded in strands of fibrin. Peyer's patches along this region and down to ileo-cajcal valve are deeply congested and swollen so as to appear boat-shaped. (The bacteria had evidently traveled along mesentery and invaded the walls of the small intestine.) Large intestine distended with dry feces. Mucosa of caacum and colon more or less congested, the congestion limited mainly to summits of folds. The lymphatic patch near valve very hyperjemic and swollen. In each pleural sac about 50 cubic centimetres of reddish serum. A thin membra- nous exudate covering the dependent half of both lungs easily scraped away as a pale yellowish pulpy mass. The remainder of pleura opaque, a barely visible exu- date covt ring it. The lungs are hypersemic, the free border of the ventral and ce- phalic lobfts collapsed. Bronchial glands swollen and hyperjemic. Pericardium thickened, clouded ; vessels injected. A barely visible exudate on it. Vessels of heart surface very much distended. Petechia on left auricle and under endocardium of left ventricle near semi-lunar valves. Eight heart distended with a dark, soft coagulum. In the peritoneal exudate, which consists chiefly of fibrin and a few leucocytes, immense numbers of the injected bacteria are present, showing after staining the polar arrangement of protoplasm very distinctly. The pleural exudate composed of the same elements. In some leucocytes up to twenty bacteria. In the spleen and blood from the heart- laige numbers of swine-plague bacteria. Agar cultures from the spleen, pleural, and peritoneal cavities contain only the injected bacteria. A bouillon culture from the spleen likewise pure. INVESTIGATIONS OF i889-'90. The problem of swine diseases as it stood after the completion of these investigations up to 1889 may be stated briefly as follows: Since 1885 a well-characterized bacillus has been encountered as the cause of an infectious disease termed hog cholera, which is chiefly localized in the large intestine. Since 1886 our attention has been directed to lung disease in swine with which a bacterium is associated, which, when inoculated into swine, proves to be very virulent and may give rise to pneumonia when the bacteria are injected into the lungs. This is sufficient to demonstrate the existence of a disease differing from hog cholera, which has been called swine plague because an identical dis- ease of swine in Germany, first described in 1885, was called Scluveine- seuche. This lung disease was shown to be communicable. (IV.) * In many of the outbreaks examined the changes found in the intes- tines could not be distinguished from hog cholera (exce])t perhaps in lY). In some hog-cliolera bacilli were actually detected, in others (I, VI) they could not be found. One of the problems, therefore, still before us, and a very important one, was to determine whether all out- breaks of swine plague in wbich intestinal lesions closely resembling those of hog cholera are present are mixed outbreaks of swine plague and hog cholera, or are simply swine plague. Much light has been thrown upon this subject by the investigations of three outbreaks given in detail in the following pages. The first is a mixed outbreak in which, however, the lung lesions are so very well marked and the swine-plague bacteria associated with, these lesions so virulent that there can be little doubt that the hog cholera disease was really secondary to the swine plague. The second outbreak is simple, uncomplicated swine plague. In the third outbreak very virulent swine- plague bacteria, and, in one case, very attenuated hog-cholera bacilli were found. VII. An outbreak of swine disease appeared among the pigs belonging to an abattoir adjoining the Experiment Station about the first week in October, 1889. The disease came to our notice a week after the first * These nnmerals refer to the dilfereut outbreaks as unmbered iu this report. 31 32 animals died, and in attempting to trace the causes which led to it we obtained the following information : The pigs were purcliased in the markets of Washington City the lat- ter part of September. They were thirty-five in number, in two, possi- bly three, lots. One lot came in two crates. It could not be deter- mined whether it was made up of pigs from one or two sources. They began to die, as stated, about a week after their arrival. We examined in all thirteen animals, the first on October 12, the last on October 28. A few days later the last of these thirty-five pigs succumbed to the dis- ease. It lasted, therefore, about 1 month. A few large swine which were on the place when these animals arrived did not take the infection. In the following pages a detailed statement of the pathological and the bacteriological examination is given. Those who are not specially interested in these notes will find a summary of the ascertained facts following them. No. 1. October 12. Male pig, weighing about 25 pounds, died last night. On inner aspect of right thigh an area, about one-half inch in diameter, of extravasation, ex- tending down into true skin. No ulcers in the mouth. Spleen not enlarged. Contents of stomach slight in amount, consisting chiefly of sand and a turbid liquid ; walls contracted, throwing mucosa into large folds. The greater part of mucosa intensely congested. In the fundus a large ulcer 1 i inches across, covered by a slough one-quarter inch thick. The subjacent wall nearly one-half inch thick, on section deeply reddened throughout, due to a sanguinolent, cedematous infiltration of the wall. Adjacent to this a smaller inflammatory thickening covered with a thin pultaceous slough. The mucosa of duodenum uniformly and deeply pigmented. In the ileum the mucosa is swollen, Peyer's patches reddened. Mucosa of cascum of a bluish-gray color, dotted with a small number of ulcers not much larger than pins' heads, covered with yellowish sloughs. Similar follicular ulcers on Peyer's patch near valve. Upper colon contains much earth, adhering rather closely to mucosa. The latter quite deeply pigmented, the pigmentation intensified in lower colon. In upper colon a small number of flattish yellowish-white sloughs from one-sixteenth to one-eighth inch in diameter. In thorax, the plenra covering the diaphragm and ribs is overlaid by a pale pinkish membranous exudate, easily rubbed off and especially abundant on the right side. The various lobes of both lungs firmly glued together by exudate. The ventral lobes, the major portion of cephalic lobes, and a small portion of the principal lobes adjacent to the ventrals are hepatized. The hepatized areas are covered by false membranes varying in thickness and easily peeled off. Through the hepatized lobes are disseminated necrotic masses of a greenish color varying in size from mere specks to peas. They contain large numbers of swine-plague bacteria, which show a polar stain very clearly. The tissue around the terminal portion of both bronchi in the principal lobes is hepatized and contains necrotic foci. Lung worms abundant in the left bronchus. Both bronchi contain small quantities of reddish foam. Peri- cardium thickened, opaque ; vessels injected ; the ventral surface is covered by a membranous exudate and it is adherent to the heart surface by means of a similar exudate. Cover-glass preparations from the pleural and pericardial exudate, from various regions of hepatized lung tissue, contain large numbers of swine-plague bac- teria. A rabbit was inoculated October 12, by placing a bit of lung tissue under the skin of abdomen. Dead next morning. Slight ecchymosis in the subcutis at the point of inoculation. The blood and spleen contain immense numbers of swine-plague 33 bacteria, sliowing well the polar arrauoeineiit of the protoplasm when stained. Cul- tures confirniatory, agar and bouillon being used chietly. A rabbit inoculated at the same time and in the same way with a bit of spleen tissue. Kabbit dead next morning. Swine plague bacteria fewer than in preceding case. An agar culture from the blood contains only those germs. From the spleen two agar, one bouillon, and one gelatine tube culture prepared. Ou the second day (Sun- day intervening) a moderate number of isolated colonies on the agar surfaces; the condensation water turbid with flaky deposits. In the bouillon tube are a large number of minute suspended flakes, the liquid itself not clouded. In these cultuies only swine-plague bacteria. The gelatine tube rcuuiined sterile. From the pleural exudate an agar and a bouillon tube were inoculated at the autopsy. On the second day a number of colonics similar to those on the spleen agar culture were found to be made up of swine-plague bacteria. The bouillon culture faintly and uniformly clouded. Only swine-plague germs present. From the epicar- dial exudate two similar cultures were prepared with the same result, with the ex- ception that in the bouillon culture large cocci were also present. With a bit of lung tissue taken from more recently diseased regions two gelatine rolls and two agar plates were made. In the second gelatine roll about 100 minute colonies present after 3 or 4 days. These were examined and bouillon tubes inocu- lated from four different colonies at different times. In all the swine-plague germs only appeared. The first agar plate developed a very large number of colonies, the second only six or seven, made up only of swiue-plague germs. No. 2. Female; died last night ; weighs about 35 i^onnds. Lymphatics in the groin barely enlarged, pale. Spleen quite large, softened, dark red in color. Digestive tract: Stomach x>artly filled with chewed leaves, and straw adhering slightly to mucosa. Fundus faintly reddened. The pyloric portion bile-stained. Duodenum similarly stained. An ascaris in the bile duct, projecting lA inches out into duodenum. Arborescent injection of mucosa of the latter. Considerable quan- tity of turbid liquid in large bowels. Mucosa not pigmented. Peyer's patch at base of valve thickened and pigmented. Ulcers moderately abundant in c;«cum and upper colon. They appear as little cup-shaped depressions, one-sixteenth to one- eighth inch in diameter,lined with a pale yellowish necrotic layer, the center in some filled with a black alough and the margin elevated. Mesenteric, mesocolic glands, and those of lesser omentum, slightly swollen ; cortical layer congested. Interlobu- lar markings of liver prominent, broadened. The section appears mottled, some lob- ules being much more congested than others. The empty gall-bladder contains a partly disintegrated ascaris, which extends through bile duct into duodenum. Thorax : The costal pleura of both sides highly injected and covered with a thin, whitish membranous exudate, gluing the lungs to the chest wall, ©f the lungs all but a small strip along the dorsal border of the principal lobes is solid, three or four times the size of the noruuil lung when collapsed. The various lobes are glued to each other, forming a single mass, in which the individual lobes ai'e not recognizable, and which is in turn attached to the chest wall, the diaphragm, and the pericardium by pleuritic exudate. This is most abundant, and forms membranes on the most de- pendent portions of the lungs, easily pulled away from the subjacent structures. The various adhesions torn without difficulty. The disease seems farthest advanced in the cephalic and ventral lobes, in which are imbedded a large number of closely set masses of dead tissue, from one-sixteenth to one-half inch in diameter. These are firm, yellowish masses, sharply detiued in outline, and imbedded in dark red hopatized tissue, which is mottled with paler speeks, representing the ultimate lobules distended with cell masses. The trachea and bronchi contain whitish foam, mixed with large quantities of thick, purulent secretion. In the bronchi of the principal lobes are many lung worms. The bronchial glands are hypenemic and O3demalous, and contain a small uum1)er of necrotic foci. 1G14 3 34 In tlie spleen a few minute oval bacteria detected. With a platinum needle the surface of an agar tube and a bouillon tube inoculated. On following day the former showed a considerable number of round, grayish colonies, 1^ to 3 millimetres (one-sixteenth to one-eighth inch) in diameter; condensation water clouded. In this tube only swine-plague germs detected. The bouillon culture contains a considerable number of minute granules, representing clumps of swine-i^lague bacteria. An agar culture from the liver grew like the si)leen culture and contained only swine- plague germs. At the autopsy an agar and a bouillon tube inoculated from the right pleura. In the former only the condensation water became turbid and contaius swine-plague germs exclusively. The bouillon tube remains sterile; similarly a bouillon tube from pericardial exudate remains sterile. (It is highly probable that the flocculent growth of the swine-plague germs in bouillon and the sterility of these tubes was occasioned by an unsuitable condition of the bouillon.) From a bit of lung tissue, the pleural surface of which had been thoroughly scorched, gelatine roll cultures were prepared. After a number of days the first roll showed a large number of colonies as mere points, the second roll about 100 colonies, somewhat larger. From both tubes bouillon was inoculated from individual colonies, These contained after development only swine-plague bacteria. At the same time the scorched lung tissue was pricked with platinum needle and an agar tube inoculated. On the surface a considerable number of similar colonies appeared on the following day. Some of these examined were swine-plague germs. In the condensation water a few chains of a short, motionless rod appeared among the great bulk of swine-plague germs. At the same time a rabbit was inoculated from the lung tissue. It was dead next morning. Enormous numbers of polar stained swine-plague germs found in stained preparation of spleen pulp. An agar culture confirms the microscopic examination. No. 3. Died last night. Female ; weighs about 25 pounds; in very poor condition. Spleen considerably engorged ; contains a small number of bacteria ; nature to be determined by cultivation. Digestive tract : One ulcer on the gums of lower jaw. Stomach contents like those of No. 2. In the fundus an area of mucosa, about 4 inches in diameter, is nearly black from extravasation, and thickened. A zone several inches wide outside of this is deeply reddened. The mucosa of duodenum and ileum more or less discolored the vessels, showing arborescent injection. In the caicum, the mucosa is of a bluish- gray color, and dotted with a dozen sloughs, one-eighth inch diameter, of a yellow color; the tissue at the margin of the slough thickened, elevated. The Peyer's patch near valve deeply congested and sprinkled with enlarged grayish follicles. Mucosa of colon more OF less discolored and hyperoemic in patches; only three small ulcers found. The liver appears normal, the bile in bladder very thick, flaky. Punctiform ecchymoses on surface of kidneys. In the lungs the major portion of both ventral lobes is solidified, the tips being emphysematous. The hepatized jjortions are bright red in color, with faint yellow- ish mottling. Bacteriological examination : Cover-glass preparations of the hepatized lung tissue show no bacteria. From a bit of tissue two gelatine roll cultures prepared and a rabbit inoculated. Roll A subsequently contained a large number of apparently iden- tical colonies. Roll B, about fifty of the same colonies and one chromogene. Care- ful examination of these revealed hog-cholera bacilli. The inoculated rabbit died within 36 hours. At the place of inoculation the bit of lung tissue was surrounded by a small area of purulent infiltration and dilated blood-vessels. In the blood and spleen a very large number of swine-plague bacteria. A bouillon culture from the blood faintly clouded on the following day, and holding in suspension barely visible granules made up of cljimps of swine-plague bacteria. No motile bacteria detected. The spleen of the pj^ contained a few bacteria, character not determinable. With a^ 35 bit of pulp a gelatine roll A and agar plate B prepared. al«o a bouillon culture. The latter was uuifonuly clouded on the followiug day ; a few gas bubbles ou the snrface. Only motile hog-cholera bacteria present. The presence of hog-cholera baclli in the spleen was furthermore den>on«trated by the roll and plate culture. 1 ho agar plate grew, of course, most rapidly, being in the thermontat. On the second .ay a consul- trable number of colonies appeared, apparently the same. Examination of some showed only hog-cholera bacilli. A bouillon tube i.u.cuhited from one of them was clouded on the following day Avith motile hog-cholera bacilli. .. ^, , , One-fifth cubic centimetre of the original bouillon culture was injected subcuta- neously into a rabbit. On the fourth day temperature 10(3.1o f. Found dead on the seventh day with the usual lesions of hog cholera, such as engorged spleen, necrotic foci in the liver, reddened Peyer's patches, hemorrhagic points on the lower colon and rectum. Spleen and liver contain hog-cholera bacilli in moderate numbers. From spleen an agar and a bouillon culture prepared by piercing spleen with a fine platinum needle and inoculating culture media tberew.th. In both only hog-cholera bacilli appeared. The original spleen culture contained no swine-plague germs, otherwise the rabbit would have succumbed withm 1 or 2 days. In the gelatine roll appeared after a few days a very large number of the same colonies, evidently all hog cholera. ,. i , x • n- No 4. October 14. Small male pig, weighing about 30 pounds ; died last night. Skin of abdomen slightly reddened. Subcutaneous inguinal glands enlarged, cedematous, mottled red and pale. . , , ., ,, ee a c Mouth free from ulcers. Content. <.f stomach stained with bile. Mucosa of fundus over an area 4 inches square deeply congested, swollen. Slight injection o minute vissels in duodenum; remainder of small intestine normal. Large intestine con. lains a turbid liquid and a substance resembling coal ashes. The mucosa of cajcnm studded with superficial, yellowish sloughs, about the size of pins' heads or a little a™! In the colon, besides these small yellowish sloughs there are three or four larje areas over which the mucous membraue is entirely necrosed «uperhcuUly^ Thfse areas are about 6 inches long. The minute sloughs l.mited chiefly to the nnner half of the colon. . , , , . iiver ratlier firm in texture, the acini projecting slightly above inter obnlar tissue on the surface. Glands near the portal fissure deeply congested throughout. Dilatation of pelvis of kidneys encroaching on medullary portion to a large extent. Both ureters very much distended; walls from one-half to three-qm.te^-s inch th.ck Lungs collapse when removed from thorax; no pleuritis In all the lobes there are masses of collapsed and hepatized tissue varying in diameter rom one-half to eeverll inches. They are situated chiefly near the roots of the lobes. The smal median lobe in part hepatized, bright red with yellowish mottling. In the termina bronchi are plugs of lung worms imbedded in thick muco-pus. The tissue around the plugs in the left principal lobe hepatized. Bacte1-iolo.ical examination: With bits of diseased lung tissue two gelatine rolls wet pave^l and a rabbit inoculated. The rolls both contained on the second day In mmense number of colonies of micrococci, evidently a contamination of the gela- Tne The inoculated rabbit died in 4 days with enlarged sp een and patches of necrosis in the liver in the form of a net work. An agar culture from the spleen and a bouillon culture from heart's blood both subsequently contained only hog-cho era hacTl No swine-plague germs detected, although the rather premature death of the rabbit led me to s;spect their presence. Some weeks later a rabbit was inocu- lated subcutaneously in the ear with a platinum loop of the blood culture of the nrecedin- rabbit. This rabbit died in 5 days with hog-cholera lesions. "^ wfh a^bit of spleen pulp of the pig a gelatine roll A and an agar plate B were prZared- also aLuillon tube inoculated with platinum needle after pricking the Tpleen This developed into a pure culture of hog-cholera bacilli. In the gelatine rollTppeared numerous colonies of hog-cholera bacilli. The agar plate was partially overgrown ; the few isolated colonies were made up of hog-cholera bacilli. 36 From the liver a gelatine roll, au agar aud a bouillon tube inoculated, each -with minute particles of tissue. In the roll numerous colonies appeared, evidently all hog cholera. The two tube cultures likewise contained only hog-cholera bacilli. No. 5. October 15. Small male pig, weighing about 2b i>ouuds, died last night. Skin about urinary meatus reddened. Subcutaneous inguinal glands enlarged, firm, juicy, faintly mottled with red. Stomach contracted. Contents same as in preceding cases. Mucosa in large folds, summits of which somewhat reddened. Slight discoloration of muco.sa of lower ileum. Contents of large intestine firm, in form of lumps. In the cjecum about ten ulcers, from one-eighth to one-half inch in diameter, the largest hutton-shapped, flattisli, a firm, yellowish, necrotic base extending into subjacent muscular coat. Complete necrosis of Peyer's patch at valve. In the colon a small number of large and small button ulcei's. The solitary follicles projecting as large as split peas. When scxueezed a white soft mass exudes from a central depression. Liver rather firm in text-ure. Gall bladder contains semi-liquid, flaky bile. Spleen slightly enlarged. Kidneys on section very pale. Both lungs (edematous. Hepatization involves the free tip of both small cephalic lobes of the right lung, the major portion of the ventral lobe of the left lung. In both principal lobes are a moderate number of small hepatized foci. In both bronchi a large quantity of very viscid muco pus, which extends down into the branches of the principal lobes. These latter and the terminal portion of the principal bronchi contain plugs of luug wortus. Bronchial glands enlarged, firm, pale. Bacteriological examination : In cover-glass preparations from the sjileeu a very few bacteria resembling somewhat hog-cholera bacilli seen. An agar culture inoculated with platinum wire remained sterile. * On the following day spleen taken from re- frigerator and a second agar tube inoculated with particle of pulp. In this tube a colony of greenish fluorescent bacilli appeared. From hepatized lung tissue two gelatine rolls were prepared. The first one was spoiled by a few liquefying colonies; the remaining small colonies were inaccessible. The second roll remained sterile. A rabbit inoculated subeutaneously with a particle of luug tissue died in 24 hours. At the place of inoculation considerable purulent thickening of skin with ecchymosis of the subcutis. Numerous very small coccidia cysts in liver. Spleen enlarged, congested. (Bacteriological notes of this rabbit mislaidr) No. 6. October 15. Small female in A^ery poor condition ; died last night ; more or less decomposition. Ventral asp'fect of bodj' reddened. Subcutaneous inguinal glands enlarged, firm, and Aery hyperiemic. Stomach much contracted, empty. Mucosa of fundus beset with punctiform hem- orrhages. Small intestine not marked by changes ; one ulcer in lower ileum. Con- tents of ca?cum aud colon of a somewhat pasty consistency mixed with coarse sand. In the CiT^cum about six old, flattish ulcers, from one-fourth to one-half inch in diam- eter, also a iiatch of easily removable, membranous exudate several inches square- In the colon near the valve several ulcers and a similar patch of exudate. In the lungs the hepatization, though extensive, is more or less scattered in foci as follows : A few hepatized foci in left cephalic, one large hepatized mass in ventral, and four wedge-shaped masses in lef-t principal lobe. In the right lung, fully two-thirds of the median and the whole of the veutral lobe solidified. The latter lightly glued to the neighboring lobes. Disseminated through it are very many necrotic foci about one- eighth inch in diameter. In the right principal lobe several hepatized masses. In both bronchi a large number of adult lung worms. Pericardium thickened ; vessels injected. Spleen not enlarged or congested. Bacteriological examination : Spleen found more or less decomijosed. No germs in cover-glass preparation. In an agar culture therefrom numerous isolated and conflu- ent hog cholera colonies appeared on following day. A rabbit inoculated subeutaneously with a bit of lung tissue (the particular region 37 not indicated in the notes) was found (lead ou the eighth day. Extending from tho point of inociihitiou over tlie entire ahdonion and portion of tliorax tlie subcutis is infiltrated with a yellowish, pasty mass of ])us, stained with blood. The superficial layer of ninscles discolored, ecehyiiiotic. Spleen slightly enlarged. No peritonitis. Cultures from the spleen remained sterile. An agar plate from the subcutaneous exu- date spoiled by condensation water. An agar tube from the same source remained sterile. No. 7. October 15. Small male pig, of about :]") pounds, died yesterday afternoon late and put in refrigerator until next morning. Animal in fairly good condition. Tlio lesions in this case were briefly as follows: Digestive tract : Fundus of stomach faintly reddened. Small intestine not affected. Contents of large intestine liquid, of black color, holding much earth in suspension. One nicer on the thickened Peyer's patch near the valve. Follicles swollen. No other changes. Lungs: General pleuritis indicated on the most dependent portions of the left lun"- by a thin, membranous exudate, elsewhere by roughening. The various lobes lightly glued together. Hei)atization limited to the tip of tho left ventral and a small area in the left principal lobe, containing numerous necrotic foci. In the right principal lobe two wedge-shaped, hepatized masses, in which are many minute oval germs, re- sembling swiue plague. Generalized bronchitis indicated by much curdy muco-pus in the bi'onchi and branches. No lung worms detected. In the liver, the center of many lobules in all the lobes of a brick-red color, caused by fatty degeneration of this portion of the lobule. Bile very thick, dark-colored. Spleen A-ery much enlarged, softened, dark colored. Bacteriological examination: From this animal only the spleen and the pleural exudate received any attention. An agar tube inoculated from the spleen simply with a platinum wire was sterile on the following day, although bacteria had been detected in the spleen pulp in cover-glass preparations. A second tube inoculated with a particle of pnlj) from the spleen, kept meanwhile in the refrigerator, developed a large number of isolated and confluent colonies. So far as could be determiiied these were all swine-plague bacteria. No motile bacteria present. An agar culture made at the autopsy from the pleural exudate proved to be a pure culture of swine-plague bacteria. No. 8. October 17. Male pig, weighing about 3.5 pounds, died last night. Sub- cutaneous inguinal glands enlarged, ou section dotted with minute petechijc. Stomach normal. Duodenum bile-stained. lu lower ileum much liquid, containino- flne earth and sand. In ciecum minute vessels of mucosa injected. Peyer's patch at valve somewhat swollen and discolored. lu the upper colon several small patches of thin exudate, about one-fourth inch in diameter; the .subjacent epithelium appeared necrosed. In both kidneys infarcts of a yellowish, homogeneous appearance sur- rounded by a hypera?mic zone, and visible from the surface of kidney, two in the left and twelve in the right. Spleen somewhat enlarged, firm. Liver very pale, pulp rather soft. On tlie left lobe several paler spots, not elevated, about one-fourth inch in diameter. Bile thick flaky. Lungs everywhere adherent to surrounding structures by means of a membranous exudate, grayish, elastic, coming away in patches and shreds when pulled. This membrane especially thick between lungs and diaphragm. The various lobes matted together and adherent to pericardium. Lungs do not collapse. Left ventral and cephalic lobes completely hepatized. Throughout both are dis- seminated a large number of greenish-white, homogeneous, firm masses from one- fourth to one-half inch in diameter. Almost entire right lung hepatized. In the cephalic lobe, ventral lobe, and cephalic portion of principal lobe the necrotic masses are very numerous, one near tip of ventral lobe quite large. The hepatization of the principal lobe is of the dark-red variety. 38 Large quantities of lung worms in left bronclius and branches contained in the caudal tliird of principal lobe. Right bronchus not opened. Pericardium thickened, opaque. Heart surface covered with a thin, transparent pseudo-membrane. Left auricle hemorrhagic. A clot distending the right heart and forming of it a complete cast. Center of clot pale. Bacteriological examination : From spleen two agar cultures made. One remains sterile. In the other on second day a faint growth starting from condensation water upwards. The latter contains clumps of swme-plague bacteria and large bacilli with terminal spore. Several gas bubbles in agar. From the pleural exudate of right lung an agar and a bouillon culture prepared at autopsy. On following day a large number of punctiform colonies on agar surface. Minute flakes in condensation water. In bouillon minute granules, representing clumps of minute oval cocci. In both tubes only swine-plague bacteria. From the more recently hepatized regions of lungs which contain large numbers of swine-plague bacteria and some large bacilli, two gelatine rolls and two agar plates prepared. In the gelatine roll A two forms of colonies appeared, one with disk homogeneous, the other with a distinct peripheral zone. In roll B only one kind a])peared. A number of bouillon tubes were inoculated from colonies in roll B which turned out to be streptococci. From roll A bits of gelatine were removed to bouillon with warmed platinum needle, some cultures remained sterile while others contained streptococci. On the agar plate A, large numbers of apparently identical colonies appeared. On plate B, a moderate number developed. Of these a few examined were made up of swine-plague bacteria. A large rabbit inoculated with a particle of lung tissue died within 20 hours. No internal changes, excepting a probably preexisting fatty condition of the liver. Few swine-plague bacteria detected with the microscope. An agar and a bouillon culture from heart's blood contained only swijie-plague bacteria on second day. No. 9. October 18. Female pig ; died last night ; weighs about 30 jjounds. Sub- cutaneous glands of groin enlarged, firm, cortex hyperajmic. One small necrotic patch on mucous surface of lower lip. Stomach with fundus pale, pyloric region bile-stai ned. Around the cardiac expansion are about thirty yellowish-white, confluent, and isolated ulcers from one-eighth to one-fourth inch in diameter. They are raised above the level of the mucosa, flat on top. Projecting slough soft, friable; base of ulcer very firm, extending into muscular coat. Mucous membrane of duodenum bile stained ; arborescent injection of minute vessels. Mucosa of ileum more or less discolored and inflamed. Large intestine with walls very much infiltrated and mucosa extensively destroyed by necrotic changes. In the caecum, a large patch of ulceration having a peculiar gnawed appearance, surrounding islands of intact mucosa. On section the mucosa is found converted into a yellowish-white, firm mass. In the colon patches like these are interspersed with a large number of isolated cir- cular ulcers with blackish, depressed surface and a subjacent yellowish, firm, thick base extending into the muscular coat. Besides these, there are a considerable num- ber of ulcers with an elevated,,soft, necrotic top, easily scraped away. In lower colon, large patches of destroyed mucosa. Spleen very large, friable, pulp very dark. Liver tissue apparently unaffected. Bile rather thick. Kidneys with parenchymatous degeneration of cortex. Lungs as whole much affected. In the right lung all but the dorsal third of the ventral lobe solid, enlarged, bright red, with large and small masses of a pale-greenish color disseminated through it. A portion of the cephalic lobe solid, in the same con- dition. One-half of the median lobe similarly diseased. The principal lobe glued to ventral lobe by a thin pseudo-membrane. About one-third along the ventral aspect solidified in masses from one-half to three-fourths inch in diameter, these masses ex- tending from diaphragmatic to convex surface of the lobe. The interlobular tissue 39 around these hepatized masses distended with serum. The various lobes of the left lung are in the same condition as the corresponding ones of tlie right lung. Pleuritis only over the hepatized regions in the form of a delicate network. The trachea and bronchi contain much Crotliy muco-pus. In the left terminal bronchus, surrounded by hepatized tissue, are masses of lung worms completely occlud- ing it. Bronohial glands large, palo, containing a variable number of small necrotic foci. Bacteriological examination: From the right pleural sac a bouillon and an agar tube were inoculated with platinum loop. In both only swine-idague bacteria sub- sequently appeared. From a more recently hepatized region of the lungs two agar plates were prepared ■with a loop of the serum, in which microscopic exami.nation had shown an immense number of swine-plague bacteria. Plate A contained, after several days, a small num- ber of miscellaneous colonies and a very large number of barely visible colonies, which proved to be made up of swine-plague bacteria. On Plate B no development. From the more advanced disease two gelatine I'olls were prepared from a particle of necrotic tissue. Eoll A liquefied. KoU B, after a week's time, contained about twenty- live small colonies of the same character, resembling hog cholera, and one large colony. The former transferred to agar, and bouillon tubes proved to bo not hog cholera but streptococci. A rabbit inoculated with a bit of diseased lung tissue died within 20 hours. Organs .not changed. At point of inoculation considerable purulent infiltration. In blood and spleen a very large number of swine-plague bacteria, showing in stained prepara- tions the polar stain very well. Cultures in bouillon and ou agar confirmatory. From spleen a particle of pulp used to prepare one bouillon culture and an agar plate. In the bouillon the motile hog-cholera bacilli appeared among clumps of swine-plague germs. Ou the plate after several days a moderate number of colonies of one size and a very large number of colonies of a very small size appeared. Some of the former examined are hog-cholera bacilli, the latter swine-plague bacteria. From particles of liver tissue the same cultures were made, and the same mixture of hog-cholera and swino-plague bacteria found. Sections from more recent pneumonic intiJtration prepared from material hardened in alcohol show a considerable amount of fibrin in the alveoli, in whose meshes are a few leucocytes and very many of the minute swine-plague bacteria. The peribron- chial and interlobular lymph spaces are distended with fibrin and cells and contain very many swine-plague bacteria. Sections prepared from tissue in which the disease is much more advanced show a complete occlusion of the alveoli and small air tubes with dense cellular masses in ■which swine-plague bacteria are more or less abundant. The tissue surrounding such foci contains in the alveoli a moderate number of round cells, largely Intermixed ■with fatty cells. Bacteria absent. No. 10. October 19. Small male pig in poor condition, weighing 21 pounds. Died last night. Subcutaneous inguinal glands very large. On section punctiform hem- orrhages and irregular masses of ai)parently necrosed tissue observed. In the stomach a considerable number of single aud confluent ulcers with iiroject- ing, yellowish, friable slough, resting on a firm, iodurated, whitish base. The mucosa of small intestine shows extensive arborescent injection of minute vessels. Contents of large intestine, a chocolate-colored liquid containing much sand. The lesions of the mucous membrane are about as extensive as in case 9. The larger patches show more diptheritic deposit than in preceding case. Spleen very large, blackish, friable. Cystic degeneration of both kidneys. Lungs extensively diseased. Nearly the whole of the left lung excepting the caudal half of the principal lobe hepatized, and covered with a thick membranous exudate. This is readily peeled off in shreds and larger patches, especially dense on the ventral and cephalic lobe and adjacent pericardium. Lobes adherent to one another ; adhe- 40 Bious easily looBeuetl. The ventral lobe is a raottled bright red. The small air tubes occluded with semi-solid plugs, easily squeezed out. This condition not observed in the other lobes, excepting in the prin-cipal, in which the terminal bronchus and branches are occluded with plugs of lung worms and muco-pus. In the right lung, the ventral lobe in the same condition as corresponding lobe of left side, containing in addition numerous necrotic foci. The cephalic iifth of prin- cipal lobe hepatized ; the hei)atization of a bright red color, with faint regular yel- lowish mottling. Cei^halic half of the small median lobe in the same condition. The bronchi in the tip of principal lobe occluded with masses of lung worms and in part hepatized. In trachea and bronchi much muco-j)us. Bacteriological examination : In i)reparations from the spleen bacteria not detected. An inclined agar tube inoculated with platinum needle contained in a few days a large number of minute apparently identical colonies. So far as could be determined no hog-cholera bacteria present. A bouillon culture inocvilated with a particle of pulp contained both hog-cholera and swine-plague bacteria. From the liver the same cultures prepared. In the agar tube besides a large num- ber of small colonies are six larger ones. These consist of hog-cholera bacilli, the former of swine-plague bacteria. In the bouillon tube both germs are present. No inculations or cultures were made with lung tissue from this case. An agar and a bouillon tube were inoculated with a platinum loop from pleural exudate at the autopsy. In both only swine-plague germs appeared. No. 11. October *22. Black female, weighing 22j^ pounds, died last night. Subcu- taneous inguinal glands indurated; cortex reddened. Some hemorrhagic points in parenchyma. Fine shreds of exudate on serous surface of large intestine. In stomach a small quantity of food. Over the entire fundus the mucosa intensely congested and swollen. No ulceration. Small intestine not aftected. Large intes- tine contains a small quantity of turbid fluid. Mucosa much pigmented. In the caecum and upper colon a small number of ulcers with slightly projecting slough ; lower colon considerably congested. Follicles swollen ; when compressed, a white curdy plug issues from a central opening. Both lungs diseased. In the right lung near the caudal border of principal lobe a wedge-shaped mass of hepatized tissue, of a bright red color. The peribronchial and interlobular tissue infiltrated over this region, and the pleura covered with a thin exudate. In the bronchi of this lobe are masses of mucus and pus in which lung worms arc imbedded. In both cei)halic and ventral lobes are masses of hepa- tized tissue; in the former also a large necrotic mass. The two small lobes of the left lung are converted into a greenish-yellow necrotic mass, which cuts like firm cheese. In the principal lobe are three foci of hepatization two of them near the tip of the lobe, where the bronchus anabranches are occluded with lung worms imbedded in mucus. Pericardium thickened, vessels injected. Cultures made in bouillon and on agar from pleural exudate. The bouillon culture . contained after several days only hog-cholera bacilli. The agar tube was lost. From a particle of lung tissue a gelatine roll A, and agar plate B prepared. On the agar plate six small colonies appeared, made up of swine-plague bacteria. No colonies ap- peared in the gelatine roll. A rabbit was inoculated with a particle of lung tissue. It died in 9 days with characteristic hog-cholera lesions. Cultures from the spleen contained only hog- cholera bacilli. From the spleen and liver, bouillon and agar tubes were inoculated with platinum wire. In all four tubes only hog-cholera bacilli ax>peared subsequently. No. 12. October 26. White female pig, weighing about 30 pounds. Died yesterday afternoon and placed in refrigerator until this morning. Subcutaneous inguinal glands enlarged, hypersemic. In abdominal cavity some dark-colored serum. One ulcer on mucous surface of lower lip and one on gums. Stomach contracted. 41 Couftiderable pigmentation of nmcosn. Outside of eanliac ("expansion two ulcers with elifjlitly projoetiiif? slough. DuodcMiinu very (U^eply i)igiiieuU;(l. rigiaeutation ex- tends through small intestine. Similar dark pigmentation of the mucosa of large in- testine. I'eyer's patch at valve converted into nuuuToiis small yellowish sloughs with indurated base. A few specimens of trichoceplialus attacluMl to mucosa. In upper colon about six small and one larger ulcer with indurated base. Follicles much enlarged with purulent contents easily expressed. Mesenteric glands with very hypera-mic cortex. Both lungs adherent to surrounding structures. In both jdeural sacs a small quan- tity of clouded serum. On removing the lungs from thorax, the various lobes are found bound together by exudate, the small median lobe Imbedded in it and the diaphragm adherent to base of lungs, the intervening exudate being very abundant. In the right luug, both ventral and cephalic lobes, hepatized. On section they have a red, granular appearance mottled with grayish linos and patches. In the ])rin- cipal lobe at its caudal extremity the interlobular tissue distended with reddish serum. Luug worms located here in large numbers. The cejihalic portion of this lobe where it rests against the ventral lobe is hepatized, bright red and mottled with whitish points and patches, differing somewhat from the necrotic foci of former descri)itions. In the left lung the ventral lobe solid, resembling the corresponding ri<>ht lobe. Left principallike the right. Lung worms in the caudal region. Pericardium thickened, opaque, distended withyellowish serum. The inner surface lined with a partly opaque, partly gelatinousexndate. The heart surface completely covered with a thick, spongy pseudo-membrane. (See plate x.) Spleen very slightly enlarged and congested. Slight post-mortem changes indi- cated m the appearance of the liver. Bacteriological examination: In cover-glass preparations from different parts of the lung tissue very many swine-plague bacteria detected. Two agar plates and two gelatine rolls were prepared. The latter were spoiled. On the second agar plate a large number of minute colonies of the same appearance and three or four miscella- neous colonies. The small ones are swine-plague bacteria. A rabbit inoculated with a particle of lung tissue died within 20 hours. In the spleen and blood very many swine-plague germs. In a bouillon culture the peculiar growth in minute granules observed which this germ has frequently exhibited here- tofore. At the autopsy an agar and a bouillon culture were inoculated from each pleural sac. In all four tubes only swine-plague bacteria appeared on following dav. From spleen and liver, agar and bouillon tubes inoculated, the former with a plati- num needle, the latter with a particle of pulp. On the agar surfaces a small number of isolated colonies appeared, made up of swine-plague bacteria. In the bouillon tubes, besides the clumps of swine-plague bacteria, a large spore-bearing bacillus ap- peared in bottom of tubes. No. 13. Octo^jer 28. Black female pig weighing 28 pounds. Died last night. Sub- cutaneous inguinal glands enlarged, firm, pale red, mottled with gray. Mucosa of stomach slightly discolored in fundus, otherwise normal. In duodenum mucosa dark bluish iu color, minute vessels injected and occasionally ruptured. Contents of large intestine a brownish liquid. Slight pigmentation and injection of vessels, no ulceration. Liver tissue rather firm to the touch. On the surface of the right half yellowish- gray spots, involving from one to several lobules, about one to a square inch. Over the entire surface are disseminated minute dots of a red-lead color, each situated iu the center of an acinus. Bile thick and flaky. Spleen much enlarged, flabby ; pulp dark red. In the left lung the dependent half of ventral lobe solid, grayish red, faintly mot- tled on the surface. Bronchioles filled with plugs of thick muco-pus. In the central 42 portion of the priucipal lobe two small bepatized foci. Numerous lung worms in ter- minal bronchus. In the right lung between ventral and cephalic lobes a portion of hepatized mot- tled lung tissue. Somewhat back of this region a mass of necrotic tissue, separated from the surrounding tissue by a greenish-white line and covered by a thick opaqne pleura of the same color. In the principal lobe a large wedge-shaped mass of hepa- tized tissue extending inwards from the lateral border several inches. On section it is dark red, mottled with grayish circles and irregular lines. The pleura much thick- ened, opaque. Another wedge-shaped hepatized mass situated near caudal tip, per- haps further towards necrosis than the preceding one. Pleura covering it necrosed. Lung worms in the terminal bronchus imbedded in mucus. Cover-glass preparations from the more recent pneumonic masses show very few germs. From the right pleural cavity a bouillon and an agar tube inoculated. In the former, motile hog-cholera bacilli; in the latter about seven colonies of the same size composed of motile bacilli, probably hog cholera, though they appear somewhat too large. A black rabbit inoculated in subcutis with a particle of lung tissue died in seven days. At the place of inoculation the subcutis is infiltrated over an area of several square inches with pus. No peritonitis; spleen large, containing many hog- cholera baciUi; necroses in liver. In cover-glass preparations from spleen and liver a considerable number of hog- cholera bacilli detected. From spleen an agar and a bouillon tube were inoculated with platinum needle. Both contain only hog-cholera bacilli on following day. Cultures from the spleen gave the same result. The lesions found in these thirteen cases may be summarized briefly as follows : No. 1. October 12. Extensive hepatization of lungs with necrotic foci; lung worms ; exudative pleuritis and pericarditis. Congestion and necrosis of stomach; hyperremia, pigmentation, and ulceration of the large intestine; ulcers small, ulcer- ation evidently follicular. Only swine-plague bacteria found. No. 2. October 12. Spleen large. Fully four-fifths of lungs hepatized, with necro- tic foci; pleuritis and pericarditis; lung worms; bronchitis. Small ulcers in large intestine. Only swine-plague bacteria found. No. 3. October 12. Spleen large. Pneumonia slight ; no pleuritis. Hemorrhagic inflammation of stomach. Ulcers in large intestine. Both hog-cholera and swine- plague bacteria detected. No. 4. October 14. Multiple pneumonic foci in lungs. No pleuritis. Lung worms. Hyperajmia of stomach. Ulcers and patches of necrosis in large intestine. Only hog-cholera bacilli detected. No. 5. October 15. Scattering pneumonic areas ; bronchitis ; lung worms. Ulcers in large intestine (button ulcers). Only swine-plague bacteria detected. No. 6. October 15. Considerable hepatization of all lobes ; lung worms. Large ulcers in large intestine. Only hog-cholera bacilli detected. No. 7. October 15. Spleen large. Hepatization not extensive; pleuritis; bron- chitis; no lung worms. Only Foyer's patch near valve ulcerated. Only swine-plague bacteria found. No. 8. October 17. About four-fifths of lung tissue hepatized, with necrotic foci; pleuritis and pericarditis. Lung worms. J^o ulcers in large intestine. Infarcts in kidneys. Only swine-plague bacteria found. No. 9. October 18. About one-half of lung tissue hepatized with necrotic foci; pleuritis; lung worms; bronchitis. Necrotic patches and ulcers in stomach and large intestine. Spleen large. Both-hog cholera and swine-plague bacteria detected. No. 10. October 19. Spleen large. Three-fourths of lung tissue hepatized, with necrotic foci; pleuritis; bronchitis; lung worms. Ulceration of stomach and large 43 iutestiue as extensive as in No. 9. JSotli .swine-plaguo and bog-cholera bacteria present. No. 11. October 22. Scatterin"- pncnmonic foci, with extensive necrosis; plearitis; pericarditis; lung worms. Congestion of stomach. Small nnraber of ulcers in large intestine, pigmentation. Hog-cbolera and swine-plague bacteria present. No. 12. October 25. Anterior (cephalic) half of lungs hepatized. Extensive pleur- itis and pericarditis; lung worms. Pigmentation of mucosa of large intestine. Few nlcers in large intestine ; follicles with purulent contents. Only swine-plague bac- teria present. No. 13. October 28. Pneumonia not extensive ; pleuritis; bronchitis; lung worms. Intestines pigmented; no ulceration. Only hog-cholera bacilli found. In all there was pueuraonia more or less extensive, associated in the majority of cases with cellular and fibrinous pleuritis, more rarely with pericarditis. In the hepatized regions necrotic masses were frequently met with. Bronchitis was common ; lung worms were very abundant. The lesions of the digestive tract varied from case to case. In some the mucosa of the stomach was hypenemic, bordering on hemorrhage ; in others diphtheritic and ulcerated ; in still others quite unchanged. The lesions of the large intestine ranged from hypersemia and pigmenta- tion to the most extensive destruction of the mucous membrane. Of the intermediate stages may be mentioned tumefaction of follicles, with discharge of purulent contents and subsequent formation of small ulcers. The results of the bacteriological work may be tabulated as follows : No. Spleen. Liver. Lungs. Pleura. Pericardium. Bern arks. Swine plague. ....do Hog cholera .. Swine plague ...do Stciile Tlog cholpia Hog cliolfira Swine plague do Swiue plague. and hog cholera. Hog cholera .. Swine plague do Hog cholera a n d swiue plague. Swine plague and hog cholera. Hog cholera . . Swine plague. Hog cholera.. . Hog cholera and swine plague. Swine plague . and hog cholera. Hog cholera . . Swine plague. Hog cholera . . Swine plague (?) Swino i)laguo and strepto- co(-c,i. Swine plague. Swine plague and hog cholera. Swine plague. Hog cholera . . Swine plague do Swine plague. Sterile Swine plague ..-.do L. .do. .do. Hog cholera Swine plague. Hog cholera . . No hog cholera. Do Swino plague a n il hog cholera. No swine ])lague. No hog cholera No swine plague. No hog cholera. Do. Swine plague and hog cholera. Do. Do. No hog cholera. No swine plague. It will be observed that in six cases (IS^os. 1, 2, 5, 7, 8, and 12) only swine-plague bacteria were detected ; in three (Nos. 1, 6, 13) only hog- cholera bacteria, and in four (Nos. 3, 9, 10, 11) both were found. In general I would not place too much stress on the absence of either kind of bacteria, because there is no reason why if both pathogenic species are 44 present they should not after a time invade every animal, unless the presence of one disease, such as swine plague, would oppose the inva- sion of hog cholera in the same animal, a hypothesis for which we have no supporting facts. If we turn to the jiositive evidence we find that in ten out of thirteen animals the same virulent swine-plague bacteria were found. We have, in other words, bacteria pathogenic in pigs, as we shall presently show, which travel from animal to animal and pro- duce a more or less extensive pneumonia with pleuritis. These facts are in themselves sufficient to separate swine plague as a distinct dis- ease from hog cholera. In those cases thoroughly studied, such as ISTos. 1 and 2, hog-cholera bacilli were probably entirely absent. A glance at the table will show that when they were detected they were always found in the spleen. In ^os. 1 and 2 only swine-plague bacteria were found in the spleen. The same may be said of iSTo. 12. Why the hog-cholera bacilli should have been in these animals and not appear in any of the numerous cul- tures made is certainly incomprehensible. Perhaps the best evidence, aside from inoculation, that swine-plague bacteria are the cause of tlie pneumonia is deducible from the bacte- riological examination of the lungs and pleura. In only two later cases were hog-cholera bacilli obtained from the pleura. In one (No. 13), the lung disease had advanced to caseation, and it accords with former experience that in such cases swine-plague bacteria are gone, and if hog-cholera bacilli are in the animal they are certain to appear in these dead lung masses, and hence in the pleural cavity. In those lungs which were extensively hepatized, but in which necrosis had not advanced far, the hepatized tissue was practically a pure culture of the swine-plague bacteria. The cause of the intestinal lesions must remain a matter of doubt, although their nature combined with the presence of hog-cholera bacilli in the herd would lead us to regard them as due to the latter. As to the origin of this mixed outbreak, nothing positive could be learned of the former history of the herd. As it was made up of two, possibly three lots, it may be assumed that one lot brought one germ and another lot the other. This hypothesis gains force from the great variation in the extent and character of the lung and intestinal lesions. Meanwhile it must be remembered that only one-third of the herd came under observation, owing to the rapidity with which the animals suc- cumbed and the somewhat tardy information concerning the outbreak which reached us. THE PRODUCTION OF DISEASE IN SWINE AND OTHER ANIMALS WITH THE SWINE-PLA'GUE BACTERIA FROM THIS OUTBREAK. The bacteriological notes already given indicate a virulent variety of these bacteria, inasmuch as rabbits succumbed to a subcutaneous in- oculation of a minute dose within 20 hours. The following tests on 45 four pigs were equally striking. The culture used was derived from case 2 by inoculatiug a rabbit with a particle of lung tissue. The culture from the spleen of this rabbit was again tested about a month later on a second rabbit. The agar culture from this animal was used to inoculate six agar tubes. From these, when 2 days old, the surface growth was washed down into the condensation water with sterile bouillon and the turbid liquid transferred to a sterile test tube. With this the following inoculatious were made : l!^o. 272, 2 cubic centimetres subcutaneously, one-half into each thigh. No. 273, one-half cubic centimetre into right lung, through chest- wall, between fifth and sixth rib. No. 274, 1 cubic centimetre into abdomen. No. 275, 1^ cubic centimetres into right lung. These pigs were all alike, Essex grade, 10 weeks old, and weighed about 40 pounds each. The inoculations were made November 16, 5 p. m. No. 272 did not show any ill effects except small tumors at the places of injection It was killed December 9 and found normal. No. 273 was very sick on the following day. It breathed with difficulty and re- fused to rise and eat. On the fourth day there was some improvement. The animal began to eat. The improvement continued and on December 2 (16 days after inocu- lation) it had apparently fully recovered. On this day it was killed for examination. About 100 cubic centimetres pale yellow serum in abdominal cavity. Diaphra"-ui pressed downwards and very tense, as viewed from the abdominal side. Lungs ad- herent to chest-wall and diaphragm. Both pleural sacs converted into large al)sccss cavities, the walls of which are formed by the diaphragm, the chest-wall, and the con- vex surface of the lungs. These walls are very much thickened and covered with a pulpy yellowish-white layer of pus. The cavity is distended with a turliid, milkv fluid. Lungs much compressed, along dorsal border collapsed. Small median lobe collapsed. Pericardium adherent to heart surface by means of fibrous bands. Pericardial sac contains a small quantity pale yellowish turbid li(juid. Intestinal tract normal. Liver with many lobules either entirely or only ceutrally congested. Serous surface facing diaphragm slightly roughened. At this time no swine-plague bacteria were found in the spleen, as the cultures- made therefrom with particles of pulp remained sterile. No. 274 was found dead early next morning, i. e., within 24 hours after iuociilation. The superficial inguinal glands much reddened. The abdomen contains about 100 cubic centimetres of clouded, straw-colored serum. The serous surface of the various abdominal organs exposed by reflection of the abdominal walls covei-ed with a thin layer of pale yellowish, friable exudate, thickest on the liver. The exudate also found between the coils of intestines. In both pleural sacs from 50 to 75 cubic centimetres of turbid serum. Pleuritic exudate on the ventral third of theri^ht lung. Similar exudate on the pericai'dium. Lungs normal. Digestive tract normal so far as the mucous membrane is concerned. The various lymph glands of thorax and abdomen slightly reddened. Liver, spleen, and kidneys not aflected. Only the spleen of this case was examined for bacteria. After scorching the sur- face an agar and a bouillon culture inoculated with platinum wire. On the agar surface about 100 isola'^ed colonies from l^ to 2 millimetres in diameter appeared on the following day, all alike and so far as examined made up of swine-plague bacteria. The bouillon culture likewise proved to be a pure culture of the injected bacteria. 46 No. 275 became very sick after the inoculation. It refueeil to get u]} and eat, and breathed with difficulty. It was found dead November 19, i. e., between 2 and 3 days after the inoculation. Skin not discolored. The cut subcutaneous vessels exude drops of dark blood. In the abdomen a few elastic threads of coagulated exudate stretched across coils of in- testines. In right pleural cavity about 100 cubic centimetres of blood-stained serum. Lungs adherent to ribs by means of a thick, soft, easily removable exudate. Lobes of right lung glued to each other and to pericardium ; they are not enlarged. The pleura of the ventral half of principal lobe is converted into a thick, wrinkled, and bleached layer; beneath it the lung tissue is hepatized. The dorsal portion of this lobe, still air-containing, covered with patches and shreds of exudate. The cephalic and ven- tral lobe solidified, not enlarged ; grayish-red on section. The left lung likewise covered in part with pleuritic exudate. The ventral two- thirds of principal lobe covered with a thick pseudo-membrane and hepatized, very firm; on section, red, mottled with gray. The ventral and cephalic lobes collapsed, covered with exudate, which extends to contiguous i)ericardium. (See plate vi). The entire diaphragmatic portion of pleura of both principal lobes and median lobe converted into a wrinkled, necrotic mass. Pericardial sac contains much reddish, turbid fluid. The surface of the heart covered with a whitish, firm, roughened exu- date. Stomach contracted ; contains a small quantity of bile-stained liquid. The mucosa of the fundus bluish-red, swollen. The whole covered with a layer of viscid bile- stained mucus. The remainder of digestive tract free from iiiilammation. In the liver the central region of acini dark brownish red, the outer portion pale brownish. The presence of the injected swine-plague bacteria in the organs of this animal were determined by the following cultures : From the spleen, in which no bacteria were detected under the microscope, an agar tube inoculated with platinum wire and a bouillon tube by adding a particle of pulp. The bouillon tube became clouded with swine plague. The agar tube remained sterile. A rabbit inoculated subcutaueously in the ear with a platinum loop dipped into the bouillon culture died within 20 hours. In blood and spleen very large num- bers of swine-plague bacteria. In cultures from these organs only these germs pres- ent. A small area on the hepatized left principal lobe scorched, and a small particle cut out with flamed scissors. From the serum filling the cavity thus formed, which con- tained large numbers of swiue-i)lague bacteria, one gelatine roll, and from this two agar jjlates prepared. The roll remained free from growth ; also one agar plate. On the other appeared a large number of minute colonies and several large colonies of hacillus suhtilis. The former were identified as swine-plague colonies. From the left pleural exudate an agar tube was inoculated. Abundant growth of swine-i)lague bacteria on the following day. From the hepatized region of the left princii)al lobe portions were placed in alco- hol and subsequently sections prepared. The alveoli and small air tubes densely packed with masses of cellular exudate. The interlobular tissue distended with a network of fibrin and a scanty number of leucocytes. In the contiguous, still per- vious areas, some air tubes were occluded with cellular plugs, and either around these or independent of them Avere isolated groups of alveoli occluded with round cells. Swine-plague bacteria were present in enormous numbers both in the parenchyma and the interlobular tissue. They were densely and uniformly sprinkled around and between the cells, in some places forming dense zooglcea. They were much smaller than in cultures, being just visible at 500 diameters. (See plate xi, figs. 2 and 3.) These iuoculatious show that these bacteria injected subcutaneously have little or no effect, but when introduced into one of the large se- 47 rous cavities severe iiiflammatiou is aroused followed by si)eedy death, lu No. 275, the injection into the right lung led to a typical pleuro-pneu- nionia of the left lung, such as was encouutered iu tlie outbreak from which the bacteria were isolated. These bacteria were fatal to mice aud guinea-pigs and to pigeons iu large doses : December 13. — Two mice inoculated under skin of back with a loop of growth from an agar culture one day old. Both dead next moruiug, with spleen much swollen and containing large numbers of the inoculated bacteria. From the spleen of one an agar aud a bouillon culture were made. The bouillon became faintly clouded ; on the agar numerous conllueut colonies appeared. Only swine-plague bacteria detected in these cultures. From the same culture a guinea-pig was inoculated subcutaneously in the same way. The guinea-pig lived 12 days. No lesions except a fatty condition of liver found at autopsy. A tube of agar to which 2 drops of blood were added remained sterile. At the same time two fowls and two pigeons were inoculated, one fowl and one pigeon with a loop of the agar culture subcutaneously and one fowl and one pigeon with 1 cubic centimetre of a peptone bouillon culture one day old. The needle of the syringe penetrated the superficial muscular layer of one pectoral muscle. Both fowls remained well, also the pigeon inoculated with the loop. The other pigeon dead next day. On the right pectoral region the subcutis was infiltrated and of a reddish-yellow color, the subjacent muscular tissue discolored to a depth of one- fourth to one-half inch. Lungs congested, other organs normal. In the blood num- erous swine-plague bacteria giving the polar stain ; in the liver very few. In April, 1891, about H years after these bacteria had been obtained from this out- break, the following inoculations were made to determine how much of their viru- lence had been lost by cultivation. Jiriil 13. — With a loop rubbed over an agar culture 4 days old, a large gray rabbit was inoculated by inserting the looi) into an incision on the ear made with flamed lancet. Rabbit dead next morning. In blood and spleen swine-plague bacteria iu moderate abundance. Jjrril 21. — Two guinea-pigs weighing IJ pounds each received a subcutaneous injec- tion of 0.075 and 0.15 cubic centimetres of a turbid suspension of swine-plague bacteria from an agar culture 1 day old. The guinea-pig which had received the largest dose died in 2G hours. At the place of injection slight yellowish infiltration of subcutis. No peritonitis. In both pleu- ral sacs a large quantity of a grayish, partly gelatinous efiusion, contaiuing immense numbers of bacteria. Pericardial sac similarly involved. Both lungs dark bluish red throughout; tissue still floats. The other gwinea-pig very sick for several days, recovered, and was killed on the eighth day. At the place of injection a minute ulcerous opening from which pus could be pressed. In the subcutis considerable rather firm infiltration, surrounded by patches of blood extravasation. Internal organs not afiected. YIII. In November, 1889, an outbreak of swine plague came to the notice of the Bureau, which, in some respects, has a quite remarkable history. The information given below was obtained by Dr. Kilborne. An educational institution near this city was in the habit of keeping on its inclosure a small number of swine in pens which were arranged 48 m the mauuer iudicated in the figure. The slope of the ground was from yard 1 to yard 3, and from yard 5 to yard 3. Yd. 2. Yd, 3. Yard h P£N. 2. Pen. 3. Yd.4. Peh.1. Pen. 4. Pen. 5. Yd. 5. In September a boar, 5 months old, died in pen 1. There had been no disease on the place 2 years previous to this occurrence, and no recent jjurchase of pigs. In the latter part of October ten pigs, 2 months old, were purchased, five placed in pen 1, and five in pen 5. At this time a sow in pen 2 had four pigs, all of which died in a few days, while the sow, although sick for a time, recovered. In pen 3 a sow became sick very suddenly November 8, and died next day. A litter of seven pigs, 7 weeks old and small f ^^ their age, died within 4 days after the death of the sow. Of these, five came underour observation (jSTos. 1 to 5 inclusive, of the autopsy notes). These five, after a very careful examination, proved to be cases of swine plague. While the recently purchased pigs in pen 1 remained unaffected, those in pen 5 began to die at the same time that the young pigs in pen 3 were dying. Thus two died November 9 and one November 10. One of these was carefully examined, and to our surprise the disease was found to be hog cholera, as the autopsy notes (No. C) clearly show. The remainder were taken to the Experiment Station. At the same time there were in pen 4 two pigs about 5 months old and one old sow. One of the pigs, sick November 12, was transferred to the Experiment Station, where it w^as found dead on the following morning. This case also was one of hog cholera (Case 7). By feeding the viscera of these two pigs to fresh pigs an outbreak of hog cholera was produced, which was subsequently utilized in a series of experiments on vaccination, as a means of exposing swine which had been vaccinated beforehand. On inquiry over a mouth later, we were informed that no further losses from swine diseases had been sustained. In the following pages are given the notes of the autopsies and bacteriological examination of the litter of small pigs which died in pen 3. They are all the more interesting in that the diseasei was swine, 49 l)lague imcomplicated with hog cholera. The autopsy uotes of the two hog-cholera cases from peu 5 and i)eii 4 are appended, to complete the history of this remarkable outbreak. 2s^ovemb6r 11, lbb9.— Pig No. 1, wliite Icinalo, weighs abuut 15 poitiuLs. Died last night. Cousideiable reddening of the skin over the ventral aspect of the body. Stomach contains a small quantity of a yellowish viscid liquid. Fundus covered with mucus and intensely reddened and swollen. In the large intestine, mucosa slightly discolored ; in a few places somewhat reddened. No necrosis or ulceration. Glands of the meso-colou enlarged, indurated, pale. About one-half of both lungs hepatized, the disease limited to the ventral or de- l)endent half. The various lol)es adherent to one auotlier, to pericardium and dia- phragm by means of a thin, papery pseudo-membrane, which is removable. Tlie hepa- tization is very firm ; on section, grayisli red or red mottled with gray. Near the roots of the lobes, also on diaphragnjatic surface of the lungs, are considerable numbers of small necrotic masses, surrounded by a bluish zone. In the trachea and bronchi, red- dish froth ; in the distal extremities of both bronchi, lungworms imbedded in mucus. Spleen small, not congested. Liver exceedingly firm to the touch. Surface not smooth, owing to acini slightly projecting above interlobular tissue. Bacteriological examination : Preparations from hepatized lung tissue contain an immense number of very minute oval bacteria. Those from the pleural exudate con- tain a smaller number. On one of the inincipal lobes the pleura w-as scorched over the diseased portion, and with a particle of tissue from Avithin the scorched area, a gelatine roll A, and two agar plates B, prepared. In the gelatine roll appeared, after a few days, a large number of barely visible colonies. A week later, besides these, a smaller number of colonies, 4 to .^> times larger than the preceding, had appeared. Owing to the large number of colonies microscopic examination not successful. Minute bits of gelatine were removed at different intervals with warmed i>latinum wire and transferred to peptone bouillon. In these tubes only swine-plague germs appeared. The larger colonies may have been streptococci, as they failed to develop in the bouillon. Both agar plates, after several days, contained a largo number of iden- tical quite small colonies, which were found to be swino plague colonies by micro- scopic examination and transfer to bouillon. In order to determine whether any other bacteria were present, two bouillon tubes Avere inoculated directly from the lungs, by piercing them with a i)latinum wire and transferring this to the bouillon. In both tubes only sivine-plague bacteria appeared. A rabbit inoculated at the same time with a particle of lung tissue died in "> days. The subcutaneous tissue over abdomen extensively thickened by a i)urulent and gel- atinous infiltrate extending over part of thorax. The abdominal walls are thickened and glued to the viscera. These latter covered with a rather firm elastic exudate, which dips down between the coils. The serosa is sprinkled with pnnctiform ecchymoses. Sjileen small ; thoracic organs not affected. In the abdominal exudate are immense numbers of oval bacteria, staining rather feebly. These not detected in spleen and blood. An agar tube inoculated from the spleen contained but a single swine-iilague colony. A gelatine culture from the blood shows in the track of the needle about 12 minute round colonies. In a bouillon culture from the peritoneal exudate only swine-plague bacteria developed. From the pleural exudate of the pig an agar and a bouillon tube inoculated at the autopsy. In the former a considerable number of isolated and continent colonies of swine-plague bacteria appeared. Tlie bouillon cultuie likewise contains only swine- plague bacteria. From the spleen jiulp, in which no bacteria were detected, a particle placed in an agar and a bouillon tube. Both were sterile on the following day. On the third day faint cloudiness of the bouillon, which contained only swine-plague germs. In the agar tube the condensation waterwasclouded, and a grayish membrane starting from it ascending along agar surface. Only swine-plague bacteria detected in this growth. 1614 4 50 Portions of Inng tissue from different lobes, hardened in alcohol, were examined. Sections from recently affected lung tissue, bordering on normal tissue, showed the alveoli to be filled in some lobules with blood corpuscles and fibrin ; in others there was, in addition, a filling up of scattered alveoli with round cells. In still others the alveolar capillaries were greatly distended with corpuscles, almost occluding the al- veoli. Imbedded in the fibrinous plugs of the alveoli were colonies of minute cocci, almost every alveolus containing one or more such colonies. lu sections from tissues iu more advanced stages there were, in addition to the more dense cell infiltration, large masses of the minute bacteria occupying the alveoli in some iiortious of the section, Auy regularity in the distribution of these bacteria not observed. No. 2. Examined at the same time. White female, weight 15 pounds. Skin on ventral aspect of body moderately reddened. Subcutaneous inguinal glands hy- pera-mic. Stomach contains a small quantity of turbid liquid. Mucosa of fundus consider- ably reddened. In the small intestine the vessels of villi appear injected, especially in duodenum. In the caecum au.d colon the entire mucosa has an intense purplish hue, shading into a wine color. This most marked in the caecum and upper 4 or 5 inches of colon, where the epithelium appears necrosed. The inflammation gradually dimin- ishes and disappears iu the rectum. Exudative pleuritis as in case 1 ; the psendo membrane as thick as heavy paper. About two-thirds of right lung hepatized. The cephalic and ventral lobe entirely solidified, also adjoining half ofthe principal lobe. In the caudal portion of the latter several hepatized foci. Lung worms in terminal bronchus. The tip of cephalic lobe completely necrosed. The ventral lobe contains large, yellowish-white, homogeneous foci of dead tissue. Median lobe completely hepatized. Through it are disseminated necrotic foci. In left lung, principal lobe entirely hepatized. Hemorrhagic, grayish-red, and grayish lobules found on the same cut surface. Ventral and cephalic lobes merely congested. Pericardium thickened. Spleen small, pulp darker than normal and softened. Liver as in No. 1. Bile very thick, dark-colored. Bacteriological examination : An agar and a bouillon tube were inoculated each with a particle of spleen pulp. The agar tube remained sterile. The bouillon be- came faintly clouded on the second day and contained only swine-plague bacteria. The hepatized lung tissue and pleural exudate both show presence of swine plague germs; the lung tissue contains immense numbers of them. With a bit ofthe latter a gelatine roll A and agar plate B prepared. In the gelatine roll, a considerable number of very minute brownish colonies appeared within a week. They were all alike. Several transferred to bouillon at intervals and the resulting cultures care- fully examined. Only swine-i)lagne bacteria detected. The agar plate had a moder- ate number of colonies, those growing on surface from 2 to 3 millimetres in diameter. These also proved to be swine plague when examined and transferred to bouillon for further identification. At the autopsy an agar and a bouillon tube were inoculated from the right pleural cavity. On the agar appeared a large number of isolated and confluent colonies all apparently alike. Some of these, as well as the growth in the condensation water, were examined and found to be swine-plagne bacteria. The bouillon contained also a streptococcus and a bacillus, imparting a sour smell to the culture. A rabbit in- oculated with a particle of lung tissue died in 6 days. The subcutaneous infiltra- tion and the peritonitis precisely as in the rabbit inoculated from No. 1. The spleen contained scarcely any, the blood few, and the peritoneal exudate an immense number of swine-plague bacteria. Agar cultures from exudate and blood and a bouillon cul- ture from the exudate contained only swine-plague bacteria. The presence of swine-plague bacteria on the inflamed mucosa of cajcum was dem- onstrated by inoculating a rabbit with a particle of mucosa which had been washed 51 in sterile water. Eabbit died in 2 days with considerable local infiltration, but no peritonitis. An agar culture from spleen with platinum needle remained sterile. A bouillon culture from blood became clouded with swine-plague bacteria. To further test this germ, one-eighth cubic centimetre of this bouillon culture 7 days old was injected subcutaneously into a rabbit. It lived 11 days. Tbore was extensive i>uru- lent infiltration of the subcutis over abdomen and thorax. Internal organs normal. But one (bouillon) tube inoculated with particle of liver tissue. This reiuaiued clear. No. 3 exauiiued on same day. White female weighing 18 pounds. Died last night. Ventral aspect of body considerably reddened. Stomach as in preceding cases. Mucosa of duodenum very much reddened ; the remainder of the small intestine nor- mal. Mucosa of caecum and colon not quite so intensely inllamed as in No. 2. Indi- cations of a yellowish, soft exudate appearing in small masses as part of the feces. Its microscopic characters not determined. Double exudative pleuritis, the exudate, thick on diaphragm which firmly adheres to lungs, very slight on convex surface of lungs where it appears as a roughening or a very delicate membrane. The various lobes glued to each other and to pericardium. In the left lung the two smaller lobes (ventral and cephalic) in a condition of pale- red hepatization ; very slightly enlarged. lu the principal lobe four or five foci of dark-red hepatization imbedded in normal tissue, on section marked with grayish, irregular lines. These masses are elevated slightly above the surrounding tissue and covered with a thick, opaque, greenish-white pleura. In the right lung both smaller lobes hepatized, larger than the corresponding left lobes, very lirni to the touch. The cut surface sprinkled with minute grayish masses. In the principal lobe the hepa- tized masses are dark red in color. The small median lobe enveloped in exudate and hepatized, the cut surface grayish red. In the bronchi a small quantity of reddish, frothy liquid. In the right terminal bronchus lung worms. Bronchial glands very large, firm, yellowish white. Pericardium inflamed, opaque. In left heart a firm washed, clot imbedded in a dark, soft coagulum. The right heart distended with a dark, soft coagulum. Spleen small, dark-colored. Liver and bile as in No. 2. Bacteriological examination: From the spleen an agar and a bouillon tube inoc- ulated with a particle of pulp. After several days a grayish growth, spreading from bit of spleen, composed of rather large cocci. The bouillon tube at this time also clouded ; contains only swine-plague germs. Two similar cultures prepared from the liver. In the bouillon tube only swine- plague bacteria appeared. On the agar surface three colonies present, one of these a chromogene, the others large spore-bearing bacilli. In the turbid condensation water the same large bacilli and swine-plague bacteria intermingled. In cover-glass preparations from spleen and liver no germs could be detected. From the right pleural cavity an agar and a bouillon tube inoculated. IJotli re- mained sterile. From the most recently hepatized lung tissue, which contains large numbers of swine-plague bacteria, a gelatine roll A and an agar plate B prepared. In thegeliitine roll colonies appeared answering to the description given for those under case 1. The bouillon tubes prepared from the colonies contained no hog-cholera germs at anytime. Swine-plague bacteria and possilily streptococci were present, although this is somewhat doubtful. The agar jdate B remained free from growth. A bouil- lon tube inocculated with a platinum needle thrust into the hepatized lung remained sterile. A rabbit inoculated with a particle of lung tissue succumbed to the disease in H days, with extensive subcutaneous purulent infiltration over abdomen. No peritoni- tis. Cover-glass prej)aration8 and cnltures from blood and spleen are negative. From this lung sections were cut from portions of one principal lobe hardened in alcohol. The alveoli were nearly all occluded by round cells, among which in a cer- tain number of alveoli large masses of the very minute swine-plague bacteria could 52 be detected. The small air tubes likewise filled with densely packed cell masses. The interlobular tissue iu a state of inflammatory oedema. November 12. — No. 4, small female, weighing about twenty pounds. Died last night. Veutral surface of the body moderately reddeued. Considerable quantity of subcutaneous fat. Lymphatic glands in groin slightly enlarged and reddened. Oue ulcer at base of left lower front tooth. Stomach contracted aud contains a email quantity of liquid resembling tomato juice. The mucosa of fundus over an area 3 inches in diameter of a dark wine-red color ; the hypertemia extends through entire mucous layer. Ou the surface a very delicate, easily removable pseudo-m'/ubraue. Mucosa of duodenum pigmented and bile-stained. In lower ileum some patches of punctiform ecchymosis. In large intestine feces adhering rather firmly to mucosa, which is reddeued and pigmented in spots aud patches aud somewhat rough to the touch. In thracic cavity lungs covered with false membrane and in part adherentto chest- wall and pericardium. On removing them, the pleuritis and hepatization found nearly as extensive as in the preceding case, i. e., the greater part of both small lobes in each lung hepatized and exceedingly firm ; in the principal lobes disseminated foci of hepatization both of the grayish-rod aud the hemorrhagic type. Lung worms not detected. In the air tubes of the ventral lobes cylinders of whitish pus. In the large bronchi reddish frothy liquid. Pericarditis as iu preceding case. On the epicardium a very delicate pseudo-membrane. Liver tissue very firm to the touch ; bile thick. Pyramidal portion of kidneys dark red. Spleen small, somewhat darker colored thau in normal condition. Bacteriological examination : Cover-glass preparations of the pleural exudate show a moderate number of swine-plague bacteria. In the lung tissue there are immense numbers of these bacteria, with au occasional large bacillus amongst them. From the right pleural cavity au agar and a bouillon tube, from the left an agar tube inoculated at the autopsy. In these tubes a considerable number of identical colonies appeared made uji of swine-plague bacteria. In the coudensatiou water of au agar culture from right pleura occasional streptococci to be seen. The bouillon tube became uni- formly clouded with swine-plague bacteria. After two weeks a few very large colo- nies of strange bacteria had developed in both agar tubes. With a particle of lung tissue a gelatine roll A and an agar plate B prepared. Koll A broke ; plate B showed in a few days about 50 colonies, evidently alike. Those examined and transferred to bouillon consisted only of swine-plague bacteria. A rabbit inoculated with a particle of lung tissue remained imaftected. Another rabbit received a subcutaneous injection of one-eighth cubic centimetre bouillon from au agar colony of lung plate. This rabbit died in 13 days with a very large abscess at the point of inoculation. In the spleen of i)ig no bacteria were detected with the microscope. In the liver several germs resembling swine-plague bacteria were observed. With particles of liver aud spleen tissue two agar and two bouillon tubes were inoculated. Only the bouillon tube from the liver became fertile and contained a diplococcus; no swine- plague bacteria. Sections from the lung tissue hardened in alcohol aud stained in various ways weie carefully examined. In the same section were lobules in which the alveoli contained fibrin and very few cells, others iu which much desquamation of the epithelial cells had taken place, and others in which the alveoli were occluded by dense cell masses. In some places the septa had apparently disappeared and a coutiuuous plug of densely massed cells extended through a number of continuous alveoli. The small air-tubes were likewise filled up with cell masses. The interlobular tissue distended with serum, the lymph channels similarly distended and containing masses of leucocytes. Iu all alveoli excepting those containing only the desquamated cells, the very minute oval swine-plague bacteria are present in immense numbers, disseminated singly through the (Edematous tissue and in large zoogloea amongst the cellular masses. 53 Xovemher l.i. — No. 5, .sinall white male, weiji;lit about 10 pounds. Died last night. In the digestive tract ot this case uothiug abnormal excepting a sonu'what bluish coloration of the mucosa of large intestine and swelling of the solitary follicles, the contents of which cau be expressed through a central opening. About one-third of the entire lung tissue hepatized. The disease involves the ven- tral tliird of all the lobes, excepting the left cephalic, Avhich is free from pneumonia. The median lobe completely solidified and containing two necrotic foci. A thick pseudo-membrane covers the pleura of the diseased areas. In the bronchi and branches of the principal lobes numerous plugs of lung worms imbedded in mucus. The bronchi of the ventral lobes occluded by cylindrical masses of mucus and pus. Bacteriological examination : An agar tube inoculated from the right pleural cav- ity at the autopsy- contained subsequently 5 colonies of swine-plague bacteria. Cover-glass preparations of diseased lung tissue show large numbers of pus corpus- cles, amongst these small oval bacteria, probably swine plague, and occasional chains of streptococci. A gelatine roll culture A and an agar plate B were made from par- ticles of lung tissue. In roll A there appeared, after a week, about onehuiulred colo- nies of bacillufi coli, twelve colonies of a slowly liquefying chromogeno,and a very large number of colonies just showing a disk under the microscope. Particles of gelatine containing these minute colonies were removed to bouillon, but no development took place. On the ag.ar plate about ten colonies of swine-plague bacteria appeared, which grew quite large, owing to isolated position. Transferred to a bouUion their swine plague nature confirmed. With a particle of lung tissue a large black rabbit inoculated. Dead in five days. The subcutis was extensively infiltrated and thickened as in previous cases. Peri- tonitis absent. Spleen barely enlarged. In cover-glass preparations from spleen and liver no bacteria observed. In an agar culture from blood thirty swine-plague colo- nies appeared. After a week a fleshy, whitish growth composed of large motile bacilli starts from condensation water upwards on agar surface. In an agar culture from the liver-a considerable number of swine-plague colonies appeared. In a bouillon culture from spleen only swine-plague bacteria developed. With particles of spleen pulp of the pig an agar and a bouillon tube inoculated. The bouillon became very turbid, greenish, fluorescent and contained a small motile bacil- lus. Plate cultures from this proved the bacillus a liquefying fluorescent bacillus. In the agar tube a growth started from jiarticle of spleen down the inclined surface and subselated. These motile bacilli were carefully studied and compared with hog-cholera bacilli. The results are given farther on.* From the liver, iii which a fetv large bacilli were observed in cover-glass prepara- tions, a bouillon and an agar culture were prepared. In both there appeared swine- plague bacteria and streptococci. Tliese were isolatcmic and hemtu'rhagic. No. 12. Anterior small lobes of lungs hepatized; no pleuritis. Peritonitis. Hem- orrhagic inflammation of a portion of small intestine. Pigmentation of large intes- tine ; indurated ulcers present. Lymph glands hemorrhagic. No. 13. July 31. Partial hepatization of lungs with necrotic foci; pleuritis; bronchitis; peritonitis. Hypenemia of large intestine; ulceration .slight. No. 14. August 4. Gelatinous a?dema of left fore limb. One-half of lung tissue hep- atized with many necrotic foci; pleuritis. Hemorrhagic inflammation of stomach. Ulcers in large intestine 68 No. 15. Atelectasis of several lobes of lungs ; no hepatization ; bronchitis. Hem- orrhagic inflaminatiou of stomach. Extensive ulceration in large intestine. No. 16. Extensive oedema of left fore limb. (Edema of lungs. Serum in both pleural sacs. Bronchitis. Lung worms. General swelling of lymph glands. Hyper- ajmia of stomach with localized necrosis. Pigmentation and discoloration of small and large intestines. A few ulcers in tlie latter. No. 17. August 5. Lungs nearly normal. Pericarditis. Peritonitis. Hyperasmia of stomach. Enormous inflammatory thickening of csecum with deposits around it. Spleen large. Lymph glands swollen, hypersemic. The important question arises as to the true nature of this disease. To the writer it appeared at first like hog cholera, possibly like a mixed outbreak of hog cholera and swine plague. The bacteriological in- vestigations, however, did not confirm this opinion, based on the post- mortem appearances. As the investigation proceeded hog-cholera bacilli failed to appear in the cultures with certain excei)tions to be discussed farther on, and indicated in the following table as motile bacilli : Case No. Lnngs. Pleura. Spleen. Liver. Kidney. e 6 7 8 9 10 13 14 15 16 17 Negative Negative ...do Negative ...do ....do ....do Swine plague- Negative S wine-plague. Negative Swine plague. Negative Swine plague. (Peritoneum) swine plague. Swine plague. Swine plague. Negative . Swine plague. Negative . Swine-plague and motile bacilli. Motile bacilli (bog chol- era?) Swine plague . Negative ...do Negative ....do (Peritoneum) negative. Negative (Pericardium) negative. It will be noted that in the eleven cases bacteriologically examined swine-plague bacteria appeared in only four. In these four cases they were detected in nearly all organs subjected to examination. Why they were not found in all cases may be due to several reasons. In the hrst place, former experience has shown that swine-plague bacteria are apt to remain localized, and that dissemination through the body does not always take place. If limited to the digestive tract they could not have been detected, because this was not subjected to examination. Secondly, swine-plague bacteria are short lived, even in cultures. They may have largely disappeared from the body at the time of death. Moreover, it is not improbable that many swine die from the secondary effects of the disease. (See No. 17.) The time of examination is therefore of import- ance. Swine may be infected all together within a short time, and the re- tarded deaths may be due to partial resistance followed by complica- tions. The lesions produced in the lungs and intestines may permit otlierbacteria to enter the body, which complicate still more our under- Standing of the real cause, 69 While therefore the bacteriological results were meager, the inocula- tion experiments and one experiment in which pigs were exposed to the disease were snccessful in demonstrating conclusively the pathogenic power of the swine-plague bacteria obtained from this outbreak. EXPOSURE EXPERIMENT. The experiment in which healthy station pigs were exposed to those sent from Fleasantville in the same pen is particularly interesting. Five Station pigs (Nos, 383-387) were placed in the pen with the five infected pigs (Nos. 13-17). The period of exposure varied greatly, as may be seen from the table below. Nos. 384 and 385 received a thor- ough exposure so fiir as regards contact with the si(;k pigs. No. 383 a l)artial one, and Nos. 386 and 387 were placed in the infected pen only after all the sick and infected had died. No. July 29. July 30. July 31. Aug. 1. Aug. 2. Aug. 3. Aug. 4. Aug. 5. Bacteriological result. 13 14 15 Ifi 17 X X X X X X X X X X Dies . . SwiiiP- plague ba(;teri:i. Negative. Swiue-pl ague bacteria. Negative (hog- cholera bac- teria?) Negative. X X X X X X X X X X X X X Dies X X X Die.s . . 383 ■.m .(86 387 Exposed . . X X X X X X X X Dies August 9 of .swine i)lague. Expoaed Aug. 9. Exposed.. ....do X X X X X X X X The result of this exposure was the death of No. 385 of swine plague. In the lungs were disseminated numerous hepatized foci undergoing necrosis. There was considerable plastic pleuritis matting the lobes to- gether. In the digestive tract extensive hypersemia bordering on hemorrhage. Swine-plague bacteria were obtained from the lungs, l)leural exudate, heart's blood, and large intestine. Cultures were also made from the spleen, liver, mesenteric glands, and kidneys, to make sure that if hog-cholera bacteria were present they should not be over- looked, but none could be found. A clearer demonstration of the disease- l)roducing power of swine-plague bacteria could not well be obtained. The importance of this case warrants the publication of the notes in detail: No. 385. Black Essex grade, aged 3 months, placed in pen containing Nos. 13 to 17, inclu.sive, on July 29. Found dead August 9, rather unexpectedly, after a sickness lasting but 2 days, and manifested by dullness and refusal to eat. Examined a few hours after death ; kept on ice in the meantime. As the skin is reflected, the cut subcutaneous blood vessels discharge drops of dark blood. In ab- dominal cavity nothing abnormal. Pericardium thickened, opaque, vessels injected. Left half of heart iirmly contracted. Ecchymoses on the right auricle. Right side contains a pale clot imbedded in a dark coagulum. 70 Respiratory tract: Mucosa of larynx and epiglottis congested. Mucosa of traclioa covered witli a very thin layer of translucent, very viscid mucus. Broneliial glands enlarged, pinkish on section. Costal pleura of the right side discolored, thickened, overlaid by a soft grayish exudate ; its blood-vessels injected. Diaphragm similarly affected. The various lobes of the lungs lightly glued to one another aud to the peri- cardium. Considerable pleuritic exudate on the right ventral and along the edges of both principal lobes. Lungs in general hypera'Uiic. Left ccphali(5 lobe ompliysema- tous ; left ventral shows hemorrhagic spots near its tip and contains two firm nod- ules, appearing as yellowish spots under jileura. Left princi])al lobe contains four of these sjjots C()rres])oudijig to firm nodules in the parenchyuja. Besides these, a Avedge-shaped, very tirni, hepatized mass extends inward from (he edge and almost through the depth of the parenchyma. These various masses a|»i)ear yellowish, homo- geneous, imbedded in hypera'Uiic, air-containing tissue. They vary from one-eighth to five-sixteenths inch in diameter, nearly all of them situated near the surface. The largest ones are covered by roughened, thickened pleura, thrown into wrinkles; these are in part yellowish, in part bright red and pink in color. The three lobes of the right lung contain these necrotic masses. There are several in the right cephalic, about six iu the ventral, and over a dozen in the principal lobe, the largest being one-half inch in diameter. Digestive tract: Several small superficial sloughs on dorsum of tongue, uear tip. Stomach contains a considerable quantity of food. Fundus deeply reddened over au area 5 inches in diameter. Duodenum with its mucosa bluish-gray, pigmented. Pey- er's patch showing as an aggregation of small, depressed pigment spots. Arbores- cent injection of jejunum merging into a geueral hypera-mia lower down. About 18 inches above valve a patch of mucosa 2 inches long, intensely reddened. Extensive pigmentation of mucosa of c;ecum. Mucous glands at the valve dis- tended with plugs. About 12 inches below the valve the mucosa is intensely red- dened, merging on hemorrhage. A very delicate elastic membrane (fibrin?) covers this region, extending for about 12 inches down the colon. Below tins latter point the mucosa continues more or less hypera-mic and pigmented into the rectum. Mes- enteric glands enlarged with cortex and interlobular i>ortions hemorrhagic. Meso- colic glands iu the same condition. Kidneys with cortex pale, somewhat enlarged. Otherwise uo marked changes ob- served. Spleen slightly enlarged and softened. Bacteriological examination includes the following organs: In two necrotic foci of the lungs examined a number of minute oval bacteria with pidar stain were observed in cover-glass prei>arations. Plates prepared with a bit of this tissue remained sterile, however. A rabbit inoculated subcutaneously with a hit of necrosed lung tissue at 15 p. m., Aug. 9, was found dead next morning. In the spleen and heart's blood aud iu cultures therefrom only swine-plague bacteria de- tected. The cultures were inclined agar and bouillon. In cover-glass preparations of pleural exudate, a large number of swine-plague bacteria were detected. Two inclined agar and one bouillon tube inoculated at the autopsy. One agar remained sterile, the two other tubes developed into pure cul- tures of swine-plague germs. From the spleen agar plates prepared with a bitof pulp remained sterile. Abouil- irm culture contained H large spore-bearing bacillus. From the liver, the same prep- arations made. Both plates and bouillon remained sterile. From the contents of right ventricle two agar and one bouillon tube were inocu- lated after scorching through the wall. The bouillon tube remained clear. Both agar tubes contained subsetjuentiy a grayish glistening growth of swine plague bacteria. From a mesenteric gland one agar and one bouillon tube inoculated by scorcliiig the surface and removing witii small scissors bits from beneath this area. Both tul)cs remained sterile. 71 From ono kidnoy two agar plates and a bouillon tiihc jncpnrcd. Plate A was spoilt by an extensive surface growth. On Plato 11 abont 12 colonies developed, some made up of micrococci, some of bacilli. The bacilli on plate B were examined more closely and readily ditt'erentiatod from hog-cholera bacilli {IhicUIhh coU vominunis) in gelatine rolls and subcultures therefrom. The 1)ouillon cuUurc contained a large spore-bearing bacillus. From the hyperiemic mucosa of colon iigar plates were made, which, howevon gave no information as to the presencle plenritis with adhesion of varions lobes of Inngs to each other, to chest wall and pericardinm. Grayish membranous exudate over the ribs on the right side. The subjacent pleura has a blnish appearance. The corresponding pleura of lung covered by patches of similar exudate. Tlie right lung dark red throughout but not hepatized. In the left lung the ventral third of the ventral lobe is dark red, solid; on section granular and interspersed with grayisli areas. The lateral edge of adjacent principal lobe is likewise hepatized for a distance of 1 inch inward and ;:i inches along border. Pericardium thickened, opaque, roughened; blood vessels injected; entire epicar- diuin covered with a rather thick fals(! membrane, loosely attaching the perittardinm to it. Large quantity of dark, partly coagulated blood in right lieart; a very little in the left heart. Stomach empty, lined with a thin layer of bi.le-staiued mucus. In the lower ileum several patches of mucosa of a dark bluish color, each about 6 inches long. Large intestine filled with dry, firm feces. In the upper colon, mucosa is 8late-C(dored, lower down normal in color. Liver rather firm, surface appears slightly roughened and mottled, owing to conges- tion of individual lobules. These deeply reddened lobules disseminated through whole parenchyma. Hepatic vessels contain much thick dark blood. Kidneys considerably enlarged, the surface besot with a Uirge number of grayish, slightly elevated spots, some surrounded by a dark-red zone. They vary from one- half to one-fourth inch in diameter and are about one-fourth inch apart. On sec- tion they correspond to grayish wedge-shaped masses extending inward through the cortex and in the form of longitudinal stri.-u through the pyramids to the i>apill;i'. These infarcts are made up, examined fresh, chietly of pus corpuscles. Only the spleen of this case was subjected to examination. No germs were seen in cover-glass preparations, but they were obtained in cultures. Sections were prepared from the hepatized lung tissue hardened in alcohol and stained with alum-carmine and methylene hlofi. The alveoli were found completely occluded with cellular masses partaking chiefly of the character of leucocytes. The red blood corpuscles were i)resent in small numbers. Fibrin not detected. The alveolar capillaries distended with red corpuscles projecting into the lumen of the alveoli. In the coll nuisses swine-plague bacteria are very abundant. They are scattered between the cells, not in clumps. Sections from the kidney hardened in alcohol and stained with methylene blue showed the cellular infiltration in the cortex and extending through the medullary portion in the form of cylindrical cell masses occupying the lumen of the large col- lecting tubules which are completely stripped of their epithelium. Swiue-plaguo bacteria are disseminated through these cell masses as in the lung tissue already described. The foreg'oino- notes indicate that 5 cubic centiilietres of a i)ei)tone bouillon culture of swine-plague bacteria injected into the circulation or the lungs may be fatal within 24 hours. They also show a tendency to indammation of the large serous cavities, especially the pleural, even when the injection is made into the circulation. This inflammation cor- responds closely with that found in the disease as it occurs in nature. 74 Auotber important fact is tlie production of pnonmonia not only when the bacteria are injected into the lungs, but when introduced into the circulation. Feeding and subcutaneous inoculation failed to produce disease. That the latter will now and then produce disease is well shown by the following case: Pig No. 454 was inoculated February 28, 1891, with a i)eptoue bouillon culture of the swine-plague germ from Case 15. Three cubic centimetres were injected subcutaneonsly into each thigh. The culture was one day old, i)repared from an agar culture. (Three others inocnhited at the same time remained well.) The pig was found dead March 2, in the early morning. It had thus lived between 3G and 48 hours after the inoculation. Black and red female pig, weigliing about 50 pounds; in good condition. Consid- erable reddening of the skin of ventral aspect ol body and ears. Subcutaneous fat reddened. From the cut vessels dark, thick blood exudes. Over both inoculated thighs the subcutaneous vessels are extensively injected, forming a dense network. The subcutis has a glistening appearance. On the right thigh, near Poupart's liga- ment, the subcutaneous connective tissue is thickened, yellowish opaque, and friable, over an area of several square inches. On opening abdomen the intestines appear very much reddened. A few elastic fibrils stretched across coils and about 10 cubic centimetres of turbid serum present. Stomach contains a large quantity of food. Mucosa not aifected. Considerable catarrhal inflammation of the duodenum, which extends into jejunum. The hyperje- mia extends through the snuill intestine, but much less intense. Several ascarides present. The mesenteric glands somewhat congested; in two of them old, caseous masses, occupying nearly the entire gland. Large intestine contains a large quantity of semiliquid feces. Mucosa normal. Meso-colic glands hyper«mic. In each pleural sac about 10 cubic centimetres of turbid effusion. Lungs hyper- ajmic and tcdematous. Interlobular tissue of anterior (or cephalic) lobes slightly thickened and opaque, the result of some former inflammation. In trachea and bronchi some reddish frothy liquid. The mucosa shows marked injection of the minute blood-vessels, in some places almost hemorrhagic. In right bronchus a small number of large lung worms. On left auricle of heart ecchymosea. In left ventricle a small quantity of rather thick dark blood. Right veutricle distended with it. Coagulation feeble. Liver quite pale generally, acini distinctly outlined. Parenchymatous inflamma- tion. On the surface may be seen with a hand-lens numerous minute grayish-yellow dots, one or more in a lobule and situated chiefly on the periphery. In sections of fresh tissue they appear as irregular, opaque, amorphous patches. In stained sections from tissue hardened in alcohol they appear as intralobular aggregations of round cells occupying the place of parenchyma cells. These foci are probably result of some former disease. In the intralobular capillaries occasional masses of swine- plague bacteria detected. (See PI. xi. Fig. 4.) Spleen enlarged and hypera^mic. Kidneys with cortex broadened. The base of pyramids somewhat darker red than normal. In cover-glass preparations from blood and spleen, swine-plague bacteria present, in the blood in considerable numbers. From a bit of spleen pulp two agar plates prepared. On the first, after 24 hours, numerous swine-plague colonies appeared; on the second nothing developed. Agar cultures from peritoneal and left pleural cavity remained clear. 75 Au a-ar tube inoculated from the blood contained a large nnn.ber of conllnout colouier. A bouillou tube became faintly clouded. Both contained ouly swiue-plague bacteria. . . ^ • , j.i „ <•„! An agar culture from the liver inoculated with platmum wire contained on the toi- lowing^day a considerable number of swine-plague colonies. Two of the following cases are of importance owing to the peculiar lesions of the joints caused by the inoculation. November 11. With a peptone bouillon culture of swine-plagne bac- teria from the same stock culture (Case 15) the following inoculations were made: Nos. 405 and 408 received into a vein of one hind leg one- half cubic centimetre; Nos. 400 and 407 received one-fourth cubic centi- metre. In each case the quantity was diluted with sterile bouillon so that 1 cubic centimetre of liquid was injected. For the two following days all pigs were sick and refused to eat the food set before them. Within a week Nos. 406 and 408 had nearly recovered, No. 405 partially, while No. 407 was unable to get up and continued so until it was killed, December 3, by a blow on the head. Its chief lesions were a peculiar necrotic and suppurative condition ot the joints and suppurative pericarditis. Con.lition of animal very poor. Enlarocment of the left carpal and phalangeal ioints of the right elbow ioint, and both hock joints. Along the inner .t^pect of the left sc'apnla, large masses of yellowish dry pus deposited around the muscles. Carpal ioint of the same limb much enlarged. On openiug the joint a considerable qnant.ty of dry pus is found deposited around the bones and between the ten.lons over the ioint The joint surfaces are discolored, the cartilages in part detached, and the small bones readily crushed. The toes enlarged, the enlargement due to similar sup- purative changes around the phalanges. , ^, • • . Rioht elbow joint enlarged; joint cartilages greenish, opaque. Around thejmnt seve^il abscesses containing either a turbid liquid or dry cheesy pus, which has bur- rowed along the intermuscular septa of the forearm. Carpal and metacarpal joints of this limb not affected. On both hind limbs the tarsal and metatarsal joints very much enlarged and in the same condition as those just described. In a small number of ribs the sternal articu- lation involved in suppuration. Over the lower ribs on the right side the intermus- cular septa are imbedded in masses of dry cheesy pus. Within the lymphatic glands at the angle of the jaw and in the inguinal region are minute yellowish masses. Lun-s normal. Pericardium thickened, adherent to the heart surface by means ot a laver of brittle, straw-colored pus, covering the entire heart surface with exception of a small area on the left ventricle, to which the pericardium is attached by means of delicate fibrous tissue. The pus is most abundant at the base. The digestive tract free from inflammatory changes. Ston.ach contains a small quantity "of liquid of a deep yellow color, and some mucus. Kidneys show on the surface a small number of discolored, slightly depressed spots, corresponding to pale, whitish, wedge-shaped infarcts, extending into medullary ^'"^Uvev discolored in spots and patches on the surface. These also seen in sections. Gall bladder contains a dark-greenish solid mass, cutting like iirm cheese and lill.ug up the entire space of the bladder. One tarsal joint saved and opened for bacteriological examination 1 he skin .s removed, the sac of the abscess thoroughly sc.u-ched and opened through the scorched area with a flamed knife. A considerable quantity of greenish-yellow liquid holding 76 in suspension brittle masses of pus wells ont. From tins liquid one inclined agar, one bouillon tube, and three agar plates prepared. The agar and the bouillon tube con- tained active growths of the injected swine-plague germ. Ou the first agar plate an immense number of minute colonies appeared; on the second about two hundred, and on the third very few. From these plates all colonies examined were made up of swine-plague bacteria. A rabbit inoculated subcutaneously with a particle of the pus died within 20 hours. In cover-glass preparations from liver and spleen, and in an agar culture from the latter organ, swine-plague germs demonstrated. Anotlier case of suppurative changes in the joints following intra- venous inoculation is the following: No. 411 received, December 4, IJ cubic centimetres bouillon culture of swine- plague bacteria into a vein of one hind limb. It immediately became very sick, was unable to get up, and died December 22. It was greatly emaciated. Both carpal and the left tarsal joint enlarged, the changes within the joint similar to those described in the preceding case. Several rib joints in the same condition. In this case also the presence of the virulent swine-plague bacteria in one diseased carpal joint was demonstrated by inoculating two rabbits with pus therefrom. Both suc- cumbed within 20 hours to the inoculation. In the organs the characteristic polar- stained bacteria. An agar and a peptone bouillon culture from the spleen of the pig remained sterile. Two other pigs inoculated at the same time aud with the same dose died in 15 hours with commencing peritonitis, pleuritis, and pulmonary oedema. In both the stomach was hyperaemic. PATHOGENIC EFFECT ON SMALLER ANIMALS. The great virulence of the swine-plague bacteria from this outbreak, as compared with those of former outbreaks, is even better shown by the inoculation of small animals. In the notes given below ifwill be seen that not only rabbits but guinea-pigs aud pigeons succumb to very small subcutaneous doses of the growth from cultures, while large fowls are killed by inoculations into the muscular tissue. The inocu- lation of guinea-pigs aud pigeons with cultures from previous outbreaks was usually uncertain even though rabbits invariably succumbed. Guinea-pigs. — October 2, 1890. One guinea-pig received subcutaneously into the thigh one-fourth cubic centimetre of a peptone-bouillon culture of swine-plague bac- teria, a second one-twelfth cubic centimetre, and a third one twenty-fourth cubic centimetre. The liquid in each case was diluted with 2 parts of sterile bouillon, hence 3 times this quantity of liquid was actually injected. The second guinea-pig died within 24 hours. At the point of inoculation consider- able gelatinous oedema, the blood vessels injected, and the muscles of thigh covered with a thin, grayish layer. Stomach and small intestine hyperaemic. Spleen en- larged, dark colored. In blood, spleen, and liver very few bacteria. An agar culture from the spleen developed only colonies of swine-plague bacteria. The first guinea- pig died several hours later with similar lesions. Peyer's patches hyperiemic. A mod- erate number of swine-plague bacteria in the various organs. The third guinea-pig dieil in about 36 hours with the same lesions. October 7. A guinea-pig was inoculated with one one-hundredth cubic centimetre of a peptone-bouillon culture. It died in 40 hours. The small intestine very hyper- iemic, occasional patches of punctiform hemorrhages in mucosa. A small number of bacteria in the various organs not showing a distinct polar stain. 77 October 14. Two giiiiiea-pif»8 were inoculated, one witli one one-thousandth cubic centiuietro and the other with cue forty-thousandth cubic centimetre of a peplono- bouillt>u culture. The first died in :i6 to 40 hourn, the second iu 8 days. In this hitter ca.se tlune was considerable jjurukiut tiiickening of the subeutis around the phice of injcelion. The intestines, liver, and spleen covered by a thin layer of cellu- lar and fibrinous exudate. Very few bacteria in the various organs and the exudate. Numerous additional inoculations of very small doses into guiuea-pigs conliruu-d the fatal eflectof this orjjjanism on this species of animals. Mice. — November 15, 1890. Two gray mice inoculated with one or two drops of peptone-bouillon culture died within 20 hours. In the spleen numerous swinc-plaguo bacteria which show the polar stain very well in stained preparations. Pigeons. — No. 1 inoculated by an injection of 0.3 cubic centimetre of a turbid sus- l)ension from an agar culture 24 hours old. The injection was made under the skin of one pectoral muscle. Pigeon No. 2 inoculated in the same way with 0.2 ctibic centimetre, the needle of the syringe penetrating superticially the pectoral muscle. No. 2 died next morning. Parboiled appearance of inoculated muscle. Liver remarkably pale and firm. In blood and liver immense numbers of bacteria showin'' polar stain very beautifully. No. 1 dies in 24 hours. Slight subcutaneous infiltration at point of inoculation. Liver in same condition as in No. 2. Considerable hyperajinia of mucosa of duode- num and adjoining small intestine. Contents stained reddish. Bacteria not so numer- ous as iu preceding case. These inoculations having proved successful, two ])igeous were inoculatiid with very small doses from an agar culture from pigeou No. 2, throe days old. No. 3. Skin over pectoral incised with a lancet and a loop dipped into the culture and rubbed into subeutis. No. 4. Skin incised and a minute portion on platinum wire rubbed into subeutis. Both dead next morning, i. e., withi.i 18 hours. Bacteria abundant as in preceding cases. Livers pale an hours. Liver very pale and sprinkled with ecchynu)ses along the course of the superficial vessels. In liver few, in blood large uuiubers of the injected bacteria. TWO BACILLI ISOLATED FROM THIS OUTBREAK CLOSELY RESEM- BLING HOGrCHOLERA BACILLL The facts thus far given are suflScieut to prove that in this outbreak the swine-plague bacteria were the chief if not tlie only cause of the ei)izootic. In the course of the investigations two kinds of bacteria were obtained, which deserve special attention owing to their resem- "blauce to hog-cholera bacilli. Owing to preoccupation of the writer with Texas fever investigations the cultures from cases 13 to J 7, inclusive, were made largely by Dr. V. A. Moore, assistant iu the li^boratory, and he was directed to pay speci^il 78 attention to all motile bacteria having any resemblance to liog-cholera bacilli. Four of such were isolated, one from the lung of No. 14, one from the spleen of iSTo. 15, one from the spleen of No. 16, and one from the kidney of No, 385. These four bacilli the writer subjected to a very care- ful examination. Those from Nos. 14 and 385 were found to be iden- tical with the common intestinal germ, bacillus coli communis. Tbose from the spleen of Nos. 15 and 16 grew very much like hog-cholera bacilli on gelatine plates and in rolls. To bring out the differences ob- served we will call the bacilli from Case 15 ;/ and those from Case 16 d\ In gelatine rolls d could not be distinguished from a parallel roll cul- ture of virulent hog-cholera bacilli. The surface colonies of y presented a somewhat different type, in that they spread in a thinner layer with very thin edges, somewhat like hacUlus coli. They differed, however, from colonies of the latter by their very restricted growtb, attaining a diameter of only 1^ to 2 millimetres. Both caused considerable turbidity of i)eptone bouillon, while viru- lent hog-cholera bacilli cause only cloudiness, which very rarely merges into a moderate turbidity. These bacilli multiplied therefore far more energetically in bouillon than do virulent hog-cholera bacilli. There were other slight differences between these two bacilli. Thus, while y caused uniform turbidity of the culture fluid, 6 grew more or less in clumps, which caused a rapid settling of the growth in spite of the motility of the bacilli. AVlien the culture was shaken up numerous clumps and flakes rose from the bottom. In the hanging drop these bacilli presented a strange appearance. The various clumps, composed of 10 or more bacilli, moved rapidly in various directions across the field of the microscope. This peculiarity of 6 maintained itself after passing through several rabbits and many cultures. In their patho- genic power these two bacilli differed not only from hog-cholera bacilli, as they are usually encountered in outbreaks, but from one another, as the following experiments show : Bacillus ;/. Plate cultures made from original culture and bouillon inoculated from a colony. When 24 hours old, this culture was used to inoculate 2 rather large rabbits. One white rabbit received subcutaneously 0.3 cubic centimetre cul- ture liquid. One black rabbit received into an ear-vein 0.3 cubic centimetre culture liquid. Two weeks thereafter, neither having shown any signs of disease, they were reinoculated. The black one received 1 cubic centimetre, the white 0.5 cubic centimetre, both into an ear vein. The white rabbit remained unaffected. It was killed after 16 days, but no lesions were found. The black one died in 36 hours. The blood was thick, tarry; the left lung hypostatic; the spleen small. No bacteria in cover-glass preparations from the spleen. This result did not place these bacilli above the level of the ordinary intestinal bacteria 79 {baciUus coli) \ for 1 cubic ceutimetre of the latter prodncos dcatli in rabbits with equal prouiptuess when injected into an ear vein. Two additional intravenous inoculations were niade April 2S: One rabbit, weighing about 3 pounds, 0.3 cubic centimetre bouillon culture. Two rabbits, weighing about 4 pounds, 0.6 cubic centimetre bouillon culture. Both rabbits remained apparently unaffected. Finally, on May 21, two rabbits, weigliing each 3 pounds, were inocu- lated b3' receiving into an ear vein 0.6 cubic centimetre of a bouillon culture. The agar culture had been replated, and Irom a colony this bouillon culture was prepared. Neither rabbit showed signs of disease. It did not seem worth while to spend any more time on this obviously uon pathogenic organism. Its marked resemblance in morphological atid biological characters to the hog cholera bacillus makes it highly probable that it is closely related to this latter germ. Bacillus d. Similar expi'riments with this bacillus from case 16 l)roved that this one did possess pathogenic i)roperties, though feeble in character. From the original culture a gelatine plate was prepared and a pep- tone bouillon tube inoculated from a colony. When 4 days old two small yellow rabbits were inoculated. One received about 0.4 cubic centimetre under the skin, the other the same quantity into the ear vein. The latter rabbit died in 6 days. The spleen is very large, dark, and softened, and contains a large number of what appear to be hog-cholera bacilli. The liver shows areas of necrosis. The gall- bladder attached by inflammatory exudation to the omentum. The lungs a^dematous. Fatty degeneration of cortex of kidneys. The small intestine filled with a glairy yellowish li(inid. The cultures from this case containetl only the injected bacilli, exhibiting in bouillon tubes the peculiar characters described above. The rabbit which received the subcutaneous dose remained apparently uualfected. After 22 days it was inoculated with swine plague and fonud dead the following morning. At the place of the first inoculation a cyst nearly 1 inch in diameter con- taining curdy pus. In the appendix verniiformis from twenty to thirty whitish nod- ules under serosa. Similar nodules on Peyer's patch near ileo-ciecal valve. A rabbit which received an injection of 0.3 cubic centimetre into abdo- men remained well. When killed, 10 days after the inoculation, the same appearances of appendix of caecum were found as those just described. Several weeks later, with the culture obtained from the first rabbit, four rabbits were inoculated, each by an injection^ into an ear vein of 0.2 cubic centimetre. These all died within 36 to 48 hours. In the one which lived 48 hours the following lesions were observed : Large, dark spleen. Interlobular network of a yellowish color through the whole liver. Under the microscope this appeared as fatty degeneration of the periphery of the acini. Lungs cedematous. Left ventricle of heart in advanced fattj' degeneration. Cloudy swelling of kidneys. In the spleen large numbers of bacilli which appear somewhat larger than hog-cholera bacilli and are usually in pairs. Cultures from this case contain only the injected bacilli. 80 That the bacilhis S is an attenuated variety of the hog-cholera ba- cillus can not be doubted when these rabbit iuoculations are taken into consideration. There was, moreover, a gradual increase in virulence observed from one inoculation to the subsequent one. Thus the first rabbit, which was a small one, received 0.4 cubic centimetre bouillon cul- ture into a vein, and lived 6 days. The second rabbit received 0.2 cubic centimetre, and died iu 2 days. Subsequent inoculations showed that .05 cubic centimetre was fatal in a few days, while smaller quantities caused a disease from which the rabbits recovered. We have thus seen that in addition to the swine-plague bacteria, which produced disease both after inoculation and exposure to diseased swine, two motile bacteria were isolated from cases 15 and 10, but from no other. These both resembled hog-cholera bacilli very closely, and undoubtedly are related to them. But they differed from each other iu several particulars, notably in virulence. While the one from No. 16 was shown to be an undoubted but very attenuated variety of hog- cholera bacilli, the one from No. 15, though it may also be an attenu- ated variety, has so little virulence that its bearing upon the outbreak iu question must be regarded as entirely negative. As to the other bacillus the question is not so simple. It may be seriously doubted whether it had anything to do iu producing the disease, since its pres- ence was detected in but one out of eleven cases, and since hog-cholera bacilli from genuine hog-cholera outbreaks appear quite regularly iu cultures from the spleen. Moreover, the virulence of the latter is many times greater than that of the bacilli iu question. Thus, to test this matter thoroughly, one pig received into the lungs 5 cubic ceutimotres of a bouillon culture, another 5 cubic centimetres into the abdomen, and several others 7 cubic centimetres each directly into the blood. None of them showed any signs of illness after such treatment. Lastly, two pigs were fed, after a fast of 24 hours, with200 cubic centimetres of a bouillon culture each. This feeding was repeated on two successive days. A slight diarrhea, lasting a few days, was the only visible effect. On the other hand it is not to be denied that these bacilli may have occasioned a part at least of the intestinal disease observed in this out- break. The truth may be that these attenuated hog- cholera bacilli, brought from distant outbreaks by individual animals which have sur- vived such outbreaks or proved themselves insusceptible at the time, had no effect on the animals brought in contact with them until the swine plague broke out, when they may have started into activity and contributed to the fatality of the disease. That the bacillus 6 from case 16 should have been the cause of the outbreak and the swine-plague bacteria secondary to it would seem very far-fetched in the light fur- irished by the experiments with the swine-plague bacteria. In addition to the attenuated hog-cholera bacilli, another disease germ was isolated from cultures prepared on the farni from some of the earlier cases. This germ is briefly referred to in the autopsy notes as a rather large bacillus, which multiplied in tU© coudeusatioa water of 81 agar cultures bat not on the surface. It produces spores which are formed in the central portions of the rod. The latter during the de- velopment of the spore becomes spindle-shaped. This bacillus does not multiply in culture tubes under ordinary conditions, but requires media more or less free from oxygen. It belongs to the group of anaerobic bacteria, and is probably identical with the bacillus of malignant oedema. Whether it is the bacillus which T have frequently detected in swine and called '' post-mortem" bacillus it is im]K)ssil)lo to state, since 1 have made no special effort to cultivate the latter and test its virulence on animals. The l)acillus in (juestion grows in deep layers of agar in test tubes. The isolated colonies develop quite slowly and after 1 or 2 weeks attain a maximum diaiueter of 2 millimetres. The surface of the fully devel- oped spherical colony is closely beset with radiating finger-like projec- tions, which are perhaps one-fourth as long as the diameter of the entire colony. An addition of glucose to the agar favors the growth of the bacilli and causes the production of considerable gas, which may break up the agar column and force portions nearly out of the tube. This bacillus also multiplies in peptone bouillon containing, say, 2 per cent, of glucose, provided oxygen is absent. For this purpose the fermenta- tion tube, which T have found very useful in bacteriologiciil work, is very well adapted.* When such tubes are inoculated a faint cloudiness of * The fermentation tube has been in use for many years in various kinds of biologi- cal work. Its value in bacteriological work as a culture tube I have already called attention to (CeiUralblatt f. Bakterioloijio (181)0) vii, p. 502), but reproduce here a few suggestions as to its use. The tube, reduced one-half, is shown in the accompanying cut. After it has been plugged with cotton wool and sterilized in the dry hot air oven it is filled with the culture liquid and steamed on three successive day.s. The air collecting at the top near b, which has been forced out of the liquid, should be removed immediately after each steaming by gently tilting the tube. After the third steaming, the liquid in b is entirely freed of dissolved air. The tube is inoculated with platinum wire, loop, or pipette as are or- dinary tubes. A large number of bacteria, especially those living in the intestines of an- imals, are capable of setting up a fermentation when glucose and other sugars are present. The gas collecting at the toj) in b is composed chiedy of CO2 and H. I have found the fermentation tube very val- uable in the diagnosis of hog-cholera bacilli, which are capable of fermenting glucose, etc. Hog-cholera bacilli from a large number of out- breaks tested thus far all manifest tliis phenom- enon, and it may be safe to assert that any bacilli resembling hog cholera which do not produce gas are not hog-cholera bacilli. 1614 G 82 the liquid appears witliiu 1 or 2 days, and gas bubbles rise in the closed branch. After a few more days the liquid in the closed branch is in part replaced by gas, which continues to form for a week or longer. Meanwhile the bacilli have become deposited in the bottom of the tube as a whitish, flocculent mass. By cultivation in this way I was able to keep these bacilli alive for many months until opportunity offered to test them on animals. That they are pathogenic and may cause ma- lignant cedema the following inoculations are sufficient to demonstrate : May 22, 1891, 3 p.m. From a culture iu a fermeutatiou tube 14 days old one- half cubic centimetre of the turbid deposit withdrawn and injected under the skin of a rather large guinea-pig iu the region of the abdomen. The animal, apparently well at 9 a. m. next morning, lay down at lO.a. m., and died at 1 p. ni. On examination very extensive sanguinoleut wdema of the subcutis over abdomen and part of thorax. On left thigh the ledema accompanied with much dis- tension of the subcutis with gas. The serosa of abdominal cavity discolored and vessels injected. Both sides of heart contain dark soft clots. In the blood-stained subcutis large numbers of the injected bacilli, in the spleen a few, in the blood none observed. Two fermentation tubes were inoculated with blood and a particle of spleen pulp, respectively. In both a typical growth appeared in a few days. At the same time a colony of these bacilli was removed from a glucose agar tube, now 22 days old, and placed into the subcutis of abdomen of another guiiiea-iiig through an incision. No symptoms observed until 48 hours, when the animal le.sUid with abdomen on floor of cage and did not stir when aroused. Apparently neither drowsy nor in pain. It was found dead on the morning of the third day ((iO hours). The lesions as well as the distribiiiion of the bacilli and cultures from blood and spleen were the same as in preceding case. A pig inoculated subcutaueously with 2 cubic centimetres of turbid dei)osit from a fermentation tube showed no signs of disease. Whether these bacilli can be implicated in the death of some cases of this outbreak in which swine-plague bacilli were not detected, these inoculations will not i)ermit us to decide. The bacilli at the date of inoculation had been cultivated for 10 months, and hence may have become attenuated in the meantime. At the end of 1890, Veterinarian E. O. Schroeder was directed by the chief of the Bureau to make some examinations of swine diseases iu the West with the object of still further determining the distribution of hog cholera and swine plague. Among the several herds examined only one deserves mention, be- cause positive bacteriological results were obtained. This herd was found about 1^ miles south of Chillicothe, Missouri, where greater or smaller losses from infectious swine diseases are said to occur each year. Cultures were made by Dr. Schroed er on agar, and these were care fully examined by the writer subsequently. The cultures from one animal contained only swine-plague bacteria, those from another only hog-cholera bacilli. This outcome again illustrates the caution which 83 imist be exercised in isolatiug the bacteria obtained from diseased ani- mals, so that the characters of two ditterent bacteria may not be confonnded and regarded as one, as has probably been done by Bill- ings in his investigations. No conclusions are drawn from the meager details below as to which bacteria may have been the predominating cause of the disease. They sim{)ly illustrate the wide diffusion and in- termingling of two pathogenic bacteria. The following brief synopsis has been condensed from Dr. Schroeder's notes of the post-mortem examination: No. 1. December 27, 1890. Dead several days. Animal had been opened by owner. Spleen greatly congested. Intestines could not be examined. Right lung almost completely hepatized. Epicarditis. Lymjih glands in general mucli cong(\sted. No. 2. January 2, 1891. Several foci of hepatization in lungs. Muco-purnlent con- dition of smaller air tubes. Spleen very large, dark, softened. I'etechia? in cortical portion of kidneys. Much ujucus in stomach. Feces in large intestine very dry, coated with mucus. Patches of byperaimia; no ulceration. No. 3. January 3. On pubic region a large open wound, with subjacent tissue very much tliickened by inllannuatory deposits. Spleen very large, dark, and friable. Slight exudative peritonitis. Congestion of fundus of stomach. Feces in large intestine exceedingly dry and covered, with mucus. Several inches below valve a blackisb, necrotic patcb, 1^ inches long and a half-inch wide (Foyer's patch ?). Mucosa congested in isolated patches. No other ulceration observed. Lungs hyperaimic. No hepatization. Heiiiorrliagic condition of auricles of heart. Petechias on epicar- dium of ventricles. No. 4. January 3. Black female, killed by a blow on head. Spleen as in No. 3. Di- gestive tract normal, with exception of patches of congestion in large intestine and what appear to be two small ulcers on ileo-cecal valve (enlarged mouths of glands ?)• Sliglit exudative peritonitis. Lungs free from hepatization. Bacteriological examination. From No. 1 no cultures made, owing to post-mortem changes. From No. 2 bits of the spleen placed in two agar tubes. On January 19 there were about 100 isolated and contluent colonies on the agar surface in one of the tubes. In the other no growth had appeared. These colonies were carefully examined and found to be swine-plague bacteria. Many of the colonies were dead, as the agar had dried out somewhat. Transferred to bouillon and other media, the diagnosis was conlirmed. These bacteria were, however, more or less attenuated as regards patho- genic effect. January 31. Two white rabbits of medium size inoculated, one snbcutaneously on one ear with a loop dipped into condensation water of an agar culture, the other under skin of abdomen in same manner. Both rabbits were very quiet for several days, the former with ear drooping and very much reddened. On the elcA'enth day it was chloroformed. The greater part of the inoculated ear blackish ; hard, like a board ; necrosed. A purulent inflammation extending from ear down ou the face and neck. Heart muscle pale and Habby. Much fat in the fibers. Fattj degeneration of con- voluted tubes in cortex of kidneys. Numerous granular casts in uriue. Spleen small and pale. Fatty condition of liver. The second rabbit was well at this time. When killed a small abscess in subcutis, with ecchymosis of contiguous abdominal muscles. No internal lesions. From No. 3 agar cultures had been made from spleen and liver. Both developed, and evidently contained the same bacteria. The liver culture contained a consider- able number of isolated colonies. From these gelatin plates were made. The vari- ous culture tests and the microscopic characters (size, motility, etc.), all iwinted to hog-cholera bacilli. Tho diagnosis was confirmed by the following inoculations: 84 One rabbit received iuto au ear vein oue-tifth cubic ceutiiueter bouillon culture derived from a colony on a gelatine plate. One rabbit received same dose of same culture under skin of flank. The first rabbit died within 48 hours. No local lesion. Spleen very large, dark, and firm. Liver fatty. Lungs slightly cedeniatous. In the spleen numerous bacteria, resembling hog-cholera bacilli in every way. Cultures confirmatory. The second rabbit died in 5 days. At the place of inoculation purulent infiltration of skin and subcutis with ecchymoses on periphery. Spleen large, dark, firm. Heart muscle fatty. Lungs cedeniatous and hypenemic along ventral border. In liver interlobular tissue broadened, pale, representing degeneration of periphery of acini. Cultures contain only hog cholera bacilli. From pig No. 4 au agar culture irom the spleen failed to develop. XI. An intermingling of hog cholera and swine plague was also observed in two outbreaks studied in 18S9, and very briefly referred to in the re- port of the Secretary of Agriculture for the same year (p. 75). These outbreaks are of importance, in so far as the hog-cholera bacilli obtained therefrom were somewhat moditied with reference to their biological and pathogenic properties. It was evident also that these hog-cholera bacilli were the predominating cause of the disease in many of the ani- mals exposed, and the full report is therefore reserved for another pub- lication. The investigations are here mentioned to illustrate once again the wide distribution and frequent intermingling of these two patho- genic bacteria. THE BACTEIIIA OF SWINE PLAGCE. MORPHOLOGICAL AND BIOLOOICAL CnAUACTERS. If a cover-gl;iss preparation from the spleen pulp of a rabbit, whicli has saccambed 16 to 20 hours after inocuhition, ba stained in alkaline methylene blue for a few minutes, and examined with a high ])ower either in water or after it has been permanently mounted in balsam, a very large number of swine-plague bacteria will usually be found among the cells of the spleen pulp. These bacteria at first give the impression of very minute flattened cocci in pairs, the individuals of each pair separated from each other by a small intervening space. (See Plate xi, Fig. 1.) A closer inspection, however, shows that each pair is in reality a single elongated body of which the two cocci are the stained extremities. The intervening space is the unstained connecting body, the borders of which are contin- uous with those of the stained extremities as indicated in the figure. The two end pieces have usually a lunar shape, the concavities turned toward each other. The depth of the concavity varies somewhat and may even be replaced by a straight line, in which case the end pieces have a hemispherical shape. It is highly probable that the bacteria as described above are in a state of division, the two stained extremities representing the two future cells, and the intervening space perhaps a common membrane without any contents. During this process the protoplasm retracts from the central portion of the rod and gathers at the two extremities. In stained cover-glass preparations these bacteria are not infre- quently found varying in length. This variation is mainly due to the variation in length of the middle unstained piece. Thus preparations of the same germ from some rabbits may show a very short middle piece so that the two concave borders of the comparatively large end pieces appear to touch each other on the lateral margins of the bacterium. In other preparations this middle piece may be from two to three times the size of each end piece. In a jn-eparation from the spleen of a rabbit inoculated with the German swine plague the middle piece was in many bacteria so long as to suggest involution or degenerate forms. It made the entire rod one and one-half to two times longer than the normal forms. In some of these bacteria one end piece had divided and the double germ resulting therefrom appeared like a long, feebly stained 85 86 bacillus, in which there were iu both ends and in the middle of the rod the deeply stained round coccus-like bodies. In all the variations the stained extremities do not vary much in size. This is, therefore, an ad- • ditional reason why these extremities should be regarded as daughter cells in process of separation from one another. The foregoing description applies to bacteria taken directly from the dead animal and dried on cover glasses. In this dried condition after they have been stained and mounted in balsam they are about 1 j.i* long and 0.5 to 0.6 /li wide. Their ends are rounded oft* and in general their form is that of a somewhat elongated oval. Besides these aver- age forms there may be others, 1.8 // long and 0.7 to 0.8 /u broad. Di- mensions larger than these generally belongto forms evidently abnormal in development. In these the width generally remains the same as that of the shorter forms. While these bacteria in cover-glass preparations from pigs, inoculated rabbits, etc., are the same in appearance, the same bacteria in sections of tissues hardened in alcohol and stained in the same way do not cor- respond to the description just given. They are smaller than the smallest forms described above, and as a rule do not show distinctly the unstained middle piece. They appear under high powers as mi- nute uniformly stained oval bodies. It is evident that in the one case the drying process has a tendency to flatten objects out against the cover glass, while in the hardening process there is a tendency to shrinking, which is not counteracted in any way. Hence the different appearance may be due simply to the difference in the mode of jjrep- aration. The foregoing description applies to virulent v^arieties which cause death of the inoculated rabbit in 16 to 20 hours. In the various organs and the blood the inoculated bacteria are present in large num- bers. The more attenuated varieties do not produce death thus quickly. The rabbit dies in from 3 to 10 days. The bacteria have meanwhile become localized iu the peritoneal cavity or the pleural cavity, and produced an inflammatory exudate which contains immense numbers ot bacteria. These do not stain so well as those described, and rarely show the polar arrangement of the protoplasm distinctly. There is reason to suppose that many of these forms are already destroyed by the inflammatory process. In cultures the swine-plague bacteria are smaller than in the bodies of inoculated animals. Examined in water they appear so minute that jt is with difQculty that they are detected at all (Zeiss apochr. 2 milli- metres, compens. oc. 4). In general they answer well to the descrip- tion of micrococci, although they are not round but oval in form. On the border of the drop holding them in suspension the polar arrange- ment of the protoplasm is occasionally detected. Swine-plague bacteria are non-motile. This imi)ortant character * Micromilliuaetre or about oae twenty-five thousandth of an inch. 87 serves to distinguisli them at once from liogcbolera bacilli. In liquids an active Brownian motion is frequently seen which is so violent at times as to give the impression of spontaneous motion. They do not change their place, however, and this agitation is thus readily distin- guished from the very active flagellar movement of hog-cholera bacilli.' Again, flagella are easily demonstrated on the latter. Dr. Y. A. Moore has devoted much time in the laboratory to bring out flagella on swine- plague bacteria without success. This was of course to be expected. No sj)ores have been observed in any of the conditions under which they have been cultivated. They are destroyed in liquids by a tem- perature of 5SO C. (136.4° F.) in 7 minutes. Their rapid destruction by drying, disinfectants, etc., renders it highly probable that no spores are i>roduced. The question whether swine-plague bacteria should be called bacilli or micrococci is not an easy one to settle satisfactorily. In the tissues and very rarely in cultures they may appear as elongated rods, but only under abnormal conditions. Their usual form, both in cultures and in sections from tissues, is that of an oval, the longer diameter exceeding but slightly the shorter diameter. While we are inclined to call them micrococci as least misleading, usage seems to have followed the Koch school in calling them bacilli. In the present report they are simply denominated bacteria, and the matter of nomenclature is left open. Swine-plague bacteria are not so easily cultivated as hog-cholera bacilli. Besides refusing to multiply on certain media in which hog- cholera bacilli readily grow, their life in cultures is much shorter. In the following the chief characters of these bacteria in the various culture media are given somewhat in detail, since no one character is sufficiently peculiar, and all are necessary to positively recognize the species. The growth on nutrient gelatine is variable and therefore not reliable. The bacteria from outbreaks VII, VIII, and IX, as a rule, refused to multiply in gelatine. Occasionally colonies develop in roll cultures, but the growth is very feeble and retarded, and may be overlooked unless they are carefully watched for longer than a week. An increase of alkali seems to favor their growth. If we turn to the bacteria discovered in 1886 and 1887 perhaps the only biological difference observable is the more abundant growth of these varieties in nutrient gelatine. The deep colonies were from one- fourth to one-half millimetre in diameter; the surface colonies were 4 or 5 times as large. The former appeared after some days with a pale mar- gin, the central portion being brownish, granular.* The failure to grow on gelatine can not be regarded as entirely due to the lower tempera- ture in which gelatine must be kept. It seems partly due to the nature of the medium, partly to the adaptability of the bacteria to be cultivated. * See p. 89 and Plate iv in the report of the Bureau of Animal Industry for 1886, and Plate xii, Fig. 3, of this report. 88 The same method being employed in the preparation of gelatine and agar, the fact that swine-plague bacteria will develop in an agar tube when a gelatine tube by its side inoculated in precisely the same manner fails to develop shows that some physical or chemical con- dition of the gelatine is at fault. The gelatine must be regarded as a drier medium than the agar, which dryness is not so favorable. An- other j)ossible explanation of the refusal of the more recently cultivated varieties to multiply in gelatine may be due in part to slight improve- ments and modifications In the preparation of nutrient gelatine and agar. On the whole gelatine should not be used in the investigation of swine plague. On nutrient agar prepared in the ordinary way with peptone bouillon and kept in the thermostat, multiplication goes on rapidly, so that in 24 hours the deep colonies are one-eighth to one-fourth millimetre in diameter according to the proximity of the colonies to one another (see Plate xii, Figs. 1 and 2). The deep or submerged colonies appear roundish or lenticular, and when examined under a low power (about 60 diameters) they are brownish, opaque, with margin and surface beset with small knobs, thus giving the disk a reticulated and the border an irregular wavy appearance. Some colonies do not present this appearance, but remain smooth on surface and margin. The surface colonies are glistening, slightly convex, whitish disks, barely trans- lucent. They are circular, with margin having no irregularities. Under a low power the central portion is brownish, granular, towards the margin becoming more homogenous and translucent and exhibit- ing usually very delicate radial striations. The deep colonies may attain a diameter of one-half to three-fourths millimetre; the surface colonies, when 1 centimetre apart, measure 4 to 5 millimetres in diameter. As in the casQ of other bacteria, the size of the colonies varies inversely as their number on the plate. A very characteristic feature of such plates is the strong, disagree- able, pungent odor which is emitted. This is best detected when the agar plates have been prepared in so-called double dishes, and these are quickly opened after they have been closed for 24 hours or less. When the growth is abundant this odor persists even after repeated exposure of the ])lates. On the inclined surface of nutrient agar in tubes, the growth may appear either in the form of isolated colonies or as a single grayish trans- lucent patch, depending on the number of bacteria rubbed upon the surface originally. (See Plate xn, Fig. 4.) The condensation water collected in the bottom is usually quite turbid within 24 hours. After two or more weeks it will be found that the growth in the water has assumed a viscid gelatinous consistency, so that it tends to come away in a mass when a platinum loop is introduced. This has been charac- teristic of all swine-plague germs thus far examined. Bouillon containing from one-fourth to 1 per cent, peptone becomes 89 uniformly but very faintly clouded within 24 hours. From some out- breaks tlie jjrowth may be at first flocculent or granular. The bacteria grow in clumps, leaving the liquid unclouded. This, however, is no permanent character, since cultures of succeeding generations after a time become uniformly clouded, i^ot infrequently a partial membrane or a ring growth on the glass at the surface of the liquid appears alter one or more weeks of quiet standing in a uniform temperature. In the bottom a deposit forms during this time which may become quite viscid. No marked changes in reaction occur in the cultures even after some weeks of multiplication. There seems, however, to be a slight tendency toward the production of an acid reaction in culture liquids originally alkaline. No fermentation of sugars accompanied by the liberation of gases takes place. In this particular these bacteria are distinguished from hog-cholera bacilli, which are able to cause fermen- tation of glucose with liberation of hydrogen and carbonic dioxide.* Milk inoculated undergoes no changes visible to the naked eye. The reaction becomes faintly acid. On the surface of boiled potato there is no appreciable multii>lication. I have once or twice observed a very faint whitish growth which may have been due to the culture material transferred. In general, however, swine-plague bacteria do not grow on potato. The temperature range for the multiplication of swine-plague bac- teria may b(^ placed between 65° and 108° F. The growth is very feeble between G~)'^ and 70° F., and most rapid and abundant be- tween 970 to 100° F. The nature of the culture media seems to have some efi'ect. If this is very favorable multii)lication may take place at a slightly lower temperature than when less favorable. Among the i^roperties of the group of swine-plague bacteria pointed out by German observers, and valuable as a means of diagnosis, is the capacity to form in culture liquio F.). From the first tube 1 cubic centimetre transferred to bouillon on the fifth day failed to infect it. From the second tube the same quantity failed to infect a bouillon tube on the seventh day. In a second series two tubes of water were infected, each with three loops of surface growth and three drops of condensation water from an agar culture. It will be noted that in this case some nutritive substances must have been transferred in the condensation water. Bouillon tubes were infected up to tlie thirty- fifth day fvota the water in the laboratory. From that in the refrigerator a successful inoculation was made on the nineteenth day, but it failed after 38, 41, and 44 days. A third series was tried. Each of two tubes was infected with three loops of growth from an agar culture 1 day old. From the one in the laboratory inoculation with 1 cubic centimetre failed on the ninth day ; from the one in the refrigerator, after the twentieth day. Swine-plague bacteria in water containing no nourishment maj^ thus succumb in 7 to 10 days at ordinary temperatures (rayish-red cut surface shows grayish lines usually arranged in curves and circles. These, so far as I could determine, represent the cut outlines of the interlobular and peri- bronchial tissue infiltrated with cells. It has already been stated that these lines may represent the ])aths along^ which the swine-plague bac- teria invade the lungs from the])leural surface. The cut ends of the bronchi of the ventral lobes are frequently oc- cluded with thick, whitish pus; in the other lobes a reddish froth is usually present. Rarely they also contain thick glairy mucus in which particles of dry i)us and lung worms are imbedded. The contents of the air tubes in the ventral lobes may have been derived from the over- distended alveoli, or else a broncho-pneumonia, may have preceded the swine-plague pneumonia. In microscopic sections of diseased lung tissue the alveoli and small- est air tubes are found distended with cell masses consisting chiefly of leucocytes. I have seen very little librin and very few red corpuscles in the alveoli, even in cases in which the disease was quite recent. It may be that the stage represented in ordinary croupous pneumonia by the presence of fibrin in connection with the cellular elements is very brief, and that it is speedily replaced by large numbers of leucocytes. The large predominance of these elements in some portions of the lungs, as well as beginning fatty degeneration, is probably the cause of the reg- ular mottling of the lungs, as seen from the surface and above referred to. (See Plate ix. Fig. 2.) The little yellowish hazy dots represent the filled and distended alveoli surrounded by the hyperaimic walls. The necrotic and caseous changes so frequent in swine plague deserve brief attention. The caseous changes were particularly noteworthy in outbreak IV (Plates vii and viii, Fig. 1) and necrotic foci especially abundant in outbreak VII. (See Plate V.) The latter are usually quite small and disseminated in large numbers over the diseased lobes. The former represent larger masses from a marble to a horse-chestnut in size. There is need for a distinction between these two forms of necrosis, as I regard them as due to different processes. The necrotic masses represent tissue which has been destroyed by the rapid multiplication of swine-plague bacteria in particular locali- ties. Hence they are found in all stages of the pneumonia. The large caseous masses may be considered as the result of a slow death of larger territories of lung tissue, due primarily to the gradual overdis- tension of the tissue by leucocytes, and hence the gradual cutting oft" of the blood supply. One is a rapid death due directly to highly viru- lent bacteria, the other a slow death, or in other words a kind of dry sup- puration in the later stages of the pneumonia, characteristic of the pig, and due indirectly to the irritation of ijerhaps more attenuated races of bacteria. 102 It has already been remarked that different species of animals react Homewhat differently to inflammatory agents, and the tendency towards caseation in the lungs of swine is, I think, an illustration of the kind of reaction manifested by swine .as a species. When irritating substances or cultures of bacteria are injected under the skin of pigs, there is a tendency to the formation of a rather firm tumor-like swelling. This tumor at first consists of a rather tough, yellowish -white mass, and only after a time softens in the center into a thick, semi-liquid pus re- sembling flour paste. This tendency to a firm, dry infiltration of pus is likewise observed in the sometimes quite extensive button-like necroses or " ulcers" in the large intestine. The same may be said of the large homogeneous cheesy masses into which the diseased lung tissue is con- verted after a time. (See Plate vii.) It is not to be understood from the preceding that the pneumonia spreads from a single lobe, such as the ventral, in all or most cases. The case on page GD (No. 385) is a signal illustration of the contrary. In this every lobe contained some necrotic foci which were evidently due to a deposit of swine-plague bacteria in these separate localities, and which had not yet coalesced by an extension of the disease when the animal succumbed. The inflammation of the pleura frequently extends to the pericardium. (See Plate x.) This membrane is opaque, thickened, and its vessels distended. It may be glued to the contiguous lobes of the lungs and covered with exudate. Less frequently it is adherent to the surface of the heart, which is then covered by a false membrane, smooth or roughened, extending upon the large vessels emerging at its base. DISEASE OF THE DIGESTIVE TRACT IN SWINE PLAGUE. In order to elucidate this important subject we may briefly refer first to the results of inoculation, second to those cases of natural swine plague from which hog-cholera bacteria can be safely excluded. In a considerable proportion of those animals which were inoculated with swine-plague cultures a severe catarrhal inflammation of the lin- ing membrane of the stomach was produced. The hypera'-mia was very intense, bordeiing on hemorrhage. Again, in another case the ex- tension of the peritonitis, produced by intra-abdominal inoculation, along the mesentery caused a severe inflammation with exudation on the mucosa of the small intestine. In one case all Peyer's patches of the small intestine were in a hyperremic, partly hemorrhagic condition. In outbreak VIII there was observed in o out of 5 cases more or less extensive hyperemia of the mucosa of the large intestine bordering on a hemorrhagic condition. In the case (^o. 385) caused by infection from outbreak IX, the inflammatory condition of the large intestine was a prominent lesion. In these cases hog-cholera bacilli may be ex- cluded with reasonable certainty. In the earlier cases of outbreak lY a peculiar croupous exudation appeared, which I have considered and 103 still rej]rar(l as the effect of swine-phis'iio bacteria in the largo intestine. (See Plate viii, Fig. 2.) Ol' this lesion more or less has been said on page 24, iu connection with a brief review of the ontbreak. It will be remem- bered that in this epizocitic hog-cholera bacilli were fonnd in the later cases, while swine-i)lagne bacteria were present in a large proportion of both earlier and later cases. The croupons inflammation in this out- break differed markedly from the necrotic and diphtheritic inflammation caused by hogcholera bacilli. At the same time we must regard it as unsat isfactory in the present state of knowledge to reason irom the pathology of swine disease to its etiology. In the remaining outbreaks two classes appear, those in which both swine plague and hog-cholera bacilli were readily detected (II, V, VII), and those in which hog-cholera bacilli were not found, or in which their relation to the disease was highly doubtful (I, VI, IX). In most of these outbreaks the intestines w'ere diseased, and the lesions resem- bled in general those found in hog-cholera epizootics. While there can be no reasonable hesitation iu attributing the intestinal lesions largely to hog-cholera bacilli when they are detected, it is diflicnlt to understand those cases in which hog-cholera bacilli are not found, or in which such attenuated forms are met with occasionally, the power of which to cause disease is highly questionable. It is reasonable to assume, at least until more knowledge is at hand, that, even in those cases in which hog^cholera bacilli are not detected in the internal organs and yet extensive necrosis and ulceration of the large intestine is present, these lesions are due to hog-cholera bacilli or bacteria not yet recognized* The difficulty of examining the intestines for pathogenic bacteria and the amount of labor involved is very great, and hence for want of time and sufflcient assistance this part of the work has been set aside in these investigations and the attention cen- tered on the lungs and the other internal organs. It is apparent that even if certain bacteria are found in the contents of the digestive tract their relation to disease processes going on there is by no means i)roved, since the intestines contain a large variety of bacteria at all times. It is necessary to demonstrate that with pure cultures of §uch bacteria the same, or a very similar intestinal disease, can be produced. While this demonstration has frequently been made by us with virulent hog-cholera bacilli, which are also quite invariably present in the sijleen, such dem- onstrations fail with swine-plague bacteria and with very attenuated hog-cholera bacilli, and we are at a loss to determine how much disease- producing power to attribute to them. The production of intestinal disease by swine-plague bacteria may be supposed to go on as follows: The bacteria first attack the lung tissue and there produce more or less hepatization. The blood finds its path through the lungs partly obstructed. This reacts on the blood in the right side of the heart and the venous blood entering it. Hence there may be more or less stasis of blood in the portal circulation which in turn impairs the digestive functions of the stomach. The swine-plague 104 bacteria in the lungs in the later stages of the pneumonia may be coughed up in the contents of the bronchial tubes, swallowed and passed through the impaired stomach unharmed into the intestines. The stagna- tion of feces in the large intestine furnishes the bacteria an opportunity to cause inflammation of the mucous membrane and exudation. The tendency of swine-plague bacteria to cause fibrinous inflammatory de- posits on serous membranes may serve to explain such action on mucous membranes. If we continue to follow the results of such jiossible localization we must assume that in the diseased intestine a considerable multiplication of swine-plague bacteria takes place, which, discharged with the feces, put into the surroundings of the swine a large number of pathogenic bac- teria. These swallowed by healthy pigs may lead directly to intestinal disease without any necessarily extensive lung lesions. The virus thus multiplied by the multiplication of cases will produce a more and more virulent epizootic in which intestinal lesions may predominate. While there is no proof that these phenomena actually take place, all the facts observed in an outbreak readily accord with such a hypothesis. The mingling of two diseases, hog cholera and swine plague,* makes it necessary to compare briefly the pathogenic power of the bacteria causing these diseases. This mingling has greatly complicated our understanding of the extent and the kind of lesions attributable to each bacterium. Thus, in hog cholera, the chief force of the disease is spent upon the digestive tract. The lungs are frequently involved in collapse and broncho-pneumonia of limited extent, but collapse seems to be not uncommon in apparently healthy pigs, and broncho-pneumonia may be conceived of as developing from collapse without the necessary interven- tion of disease germs. Again, the presence of lung worms may account for much of the localized bronchitis and hepatization. It is easy to understand that hog-cholera bacilli accidentally present in the blood in disease may pass through a healthy lung without injury, while lungs affected with collapse and lesions due to lung worms may offer a favor- able opportunity for the lodgment of emboli containing bacilli. The disease process thus starting up may be continued by sputum bacteria (resembling or identical with swine plague). It becomes difficult there- fore to determine whether hog-cholera bacilli have any specific effect on the lungs. In swine-plague the exact reverse is true. The predilection of swine- plague bacteria for the lungs is a demonstrated fact even with small experimental animals. Their exact eflect on the mucous membranes of the cascum is not easily determinable owing to the frequent association with hog-cholera lesions. That they produce a diffuse intense inflam- mation, associated at times with fibrinous exudation, will not, I think, be denied in view of the facts brought out in the experimental part of this report. * See also p. 138 for some practical observations on this subject. 105 We have thus in hog* cholera primary disease of the intestines with perhaps secondary localizations in tlie hinij;s; in swine phigne primary disease of the lungs with secondary infection of the intestines. The pathological action of these two kinds of bacteria can not be for- mulated with any precision without extended investigations directed to that subject alone. Meanwhile a few broad facts can be deduced from the inoculation experiments. Hog-cholera bacilli multiply in clumps in the capillaries of the j)areuchyma of the various organs, where they primarily obstruct the circulation, and thus produce necrosis of tissue in their immediate vicinity. When this takes place in the follicular apparatus of the intestine (in rabbits) necrosis of portions of the mucous membrane, followed by ulceration, may ensue. They do not produce fibrinous and cellular exudation on serous membranes, aiul probably do not multiply on these membranes. Secondarily, they produce paren- chymatous degeneration of the liver, kidneys, and heart-muscle, which degeneration may be due to the toxic bodies formed by them. Swine-plague bacteria, on the other hand, seem to multiply diffusely and abundantly wherever such multiplication takes place. When in the blood death is exceedingly rapid ; when in the large serous cavities, exudates are quickly produced and death may ensue in from 3 to 7 days; when under the skin necrosis and suppuration take place. The following table gives brietly the important differences observed between hog-cholera and swine-plague bacteria. Those features com- mon to both are omitted : SWlNE-PLAGUE BACTERIA. MorplwlogicaJ. 1. About 1/i loug aucl 0.5 toO.f)// wide iu (cover-glass preparations niouutod in balsam). 2. They show the so-called polar staiu iu certain conditions. 3. Non-motile. Biological. 4. Growth in bouillon feeble. 5. Growth on gelatine feeble or absent. 6. Growth on potato fails. 7. Tends to produce acid reaction of cul- ture liquid. 8. Produces no fermentation of glucose. 9. Produces phenol and indol (?). 10. Rapidly destroyed iu water, in soil, by drying.* HOG-CnOLEUA BACILLI. Morphological. 1. About 1.2 to 1.5 /< long and O.G f.i wide. 2. No characteristic polar stain, llie central part of rod frequently less stained than periphery. 3. Motile (possess llagella). Biological. 4. In bouillon moderate. 5. On gelatine more vigorous than swine plague. 6. On potato usually abundant. 7. Tends to produce alkaline reaction. 8. Causes fermentation of glucose with production of CO.2 and H. 9. Produces neither phenol nor indol. 10. Quite resistant to the same agents.* * See page 92 for table. 106 Pathogenic. 11. Multiplies diffusely iu blood or on serous membraues. 12. Produces septicix^mia ; fibrinous and cellular inflammation of serous membranes and pneumonia in small animals. 13. Most virulent varieties are fatal to mice, rabbits, yuiuea-pigs, and pi- geons in very minute doses.* Death in 16 to 20 hours. Pathogenic. 11. Multiplies In blood vessels in clumps. 12. Does not produce inflammation of serous membranes. Produces pa- renchymatous degeneration of vital organs. Necroses in liver. More attenuated varieties cause infiltra- tion and ulceration of Peyer's patches and infiltration of lymph glands. 13. Most virulent varieties are fatal to mice, rabbits, and guinea-pigs in minute doses." Death in 5 to 8 days. In view of the mingling of these two diseases can we by inoculation of both bacteria at the same time gain any information as to their rela- tive activity? If both kinds of bacteria were of unchanging virulence this might be done, but we may have in natural outbreaks attenuated swine plague associated with virulent hog-cholera bacteria and the re- verse. Or one kind of bacteria may invade the animal after the other has spent its energy. The variety of combinations which may occur in nature is too great to be imitated by experiment. It was, nevertheless, desirable to see what effect the inoculation of mixed cultures might have. Hence the following experiment was tried, the result of which, though very important, is not conclusive. May 12, 1891. Cultures of swine plague from outbreak IX and of hog cholera. from a Virginia epizootic, both the most virulent in the laboratory, were chosen. From the growth on an agar culture of these swine-plague bacteria 24 hours old a turbid suspension in bouillon was prepared. A bouillon culture of the hog-cholera bacilli only 24 hours old in which the growth was abundant was also on hand. With these cultures three pigs, about 6^^ months old, of the same breed and lot, were inoculated as follows : No. 462 received into the right lung one-fourth cubic centimetre of the swine- plague suspension, and three-fourths cubic centimetre of the hog-cholera bouillon mixed. No. 463, inoculated in the same way with twice this quantity, i. e., one-half cubic centimetre swine-plague and 1| cubic centimetre hog-cholera culture. No. 461 received 5 cubic centimetres of the hog-cholera culture alone into the right lung. No. 463 was dead next morning, within 16 hours after inoculation. Animal in good condition ; weight 72 pounds. Subcutaneous fat reddened. Blood oozes from the cut vessels and coagulates feebly. Arborescent injection of minute bloodvessels of connective tissue in axilla and between muscles on thorax. In abdominal cavity a considerable quantity of yellowish serum. Ventral portion of spleen imbedded in an elastic whitish exudate. Costal and diaphragmatic pleura show intense vascular injection. In right pleural sac about 140 cubic centimetres blood-stained * It must be borne in mind that the various attenuations of hog-cholera and swine- plague bacteria can not be individually considered with reference to their pathogenic effect iu a tabulated form ; we must refer to the text for these. 107 liquid, ill loft 70 cubic centimetres. Lungs but partly collapsed : nulematous. Over the entire right lung a very thin friable exudate; over the loft this is found only on most dependent portion. Kiglit lung punctured by needle in principal lobe. The puncture shows as a hemorrhagic spot. In the stomach — which is filled with food — and in intestines, nothing abnormal. Kidneys with base of pyramids darii red. Spleen slightly enlarged. In the spleen pulp only swine-plague bacteria detected. In an agar culture there- from no motile bacilli seen. A bouillon culture from the peritoneal exudate contains only swine-plague bacteria. Cover-glass preparations from both pleural and perito- neal exudate show numerous polar stained bacteria. No. 402 manifested labored breathing soon after the inoculation. It lay on its bedding unable to get up. It was found dead May 16. Considerable reddening of the skin on ventral aspect of body. Subcutis as in 463. In abdominal cavity a small quantity of yellowish serum and some iibrinous coagula. Spleen quite large, congested and friable. Thoracic cavity. Right pleural sac contains 100 cubic centimetres of turbid dark red fluid. Considerable friable exudate covering costal and pulmonary pleura of this side, especially abundant on small lobes. Pleura opaque, thickened and wrinkled. Both cephalic and ventral lobes not enlarged, but firm, on section grayish red, solid. Bronchioles tilled with whitish muco-pus. The needle puncture in principal lobe is the center of a hepatized mass, fully 2 inches in diameter; on section some lobules bright red, others hemorrhagic, dark red. Nearer periphery of this mass the hepa- tization is grayish red ; the interlobular and peribronchial tissue appear as irregular grayish lines. lu the left lung the priucipal lobe congested; slight interlobular (edema. Along cephalic border, under pleura, a dark red hepatized mass, about one- half inch in diameter. Tip of ventral lobe adherent to pericardium, beneath adhe- sions small foci of dark red hepatization. In terminal bronchi adult lung worms. Pericardium adheres to heart surface by means of a thick yellowish pseudo-mem- brane. Glands along posterior aorta hemorrhagic. Digestive tract : Stomach empty. Mucosa thrown into folds and covered with an abundance of very viscid mucus. In fundus it is congested. Hypera-mia also ai'ound cardiac expansion. Duodenum pigmented. Mucosa of ileum swollen and sprinkled with small hemorrhagic spots. Mucosa of ca'cum and upper colon discolored. In lower colon minute whitish spots, with injected margin, evidently superficial ulcers. Meso-colic glands enlarged, hypera>raic. Liver somewhat enlarged, quite firm. Acini slightly projecting ; some dark red; in most of them intralobular necrotic masses, the result of some former disease.* Portal glands enlarged and hypenemic. Kidneys congested; pyramids dark bluish red. Glomeruli just visible to naked eye as injected points. Bacteriological examination : In cover-glass preparations from the hepatized mass of right principal lobe very many swine-plague bacteria and a few somewhat larger forms. In two agar plates from the same region large number of colonies of two kinds appear. One represents swiue-plague about ten times more numerous than the hog- cholera colonies, which are on second day twice as large. In cover-glass prepara- tions of spleen pulp a considerable number of bacteria appearing as hog-cholera bacilli. The same is true of the liver. Agar plates from each organ contain only colonies of hog-cholera bacilli. No, 461, though sick for a few days, fully recovered. This experiment illustrates the greater rapidity of action of swine- plague bacteria even in small doses. It also demonstrates their greater virulence, for the pig inoculated with a large dose of hog-cholera bacilli * This condition of the liver will be discussed in a subsequent publication. It bears no relation to the inoculation, since it ia found in swine otherwise healthy. 108 alone, altliougli sick for a few days, recovered. Another fact of im- portance illustrated in these cases is the slow action of hog-cholera bacilli in invading otber organs. Thus the swine-plague bacteria had killed No. 463 before the hog-cholera bacilli had invaded the spleen and liver. In No. 462, however, enough time had elapsed to permit the hog-cholera bacilli to spread through the body while the swine-plague bacteria were now limited to the lungs. The invasive power of hog- cholera bacilli, though slower, is nevertheless more lasting. There is no evidence to support the view that either swine-plague or hog-cholera bacilli may produce serious disease in man. No bacteria have thus far been described as the cause of human disease which are identical with either of the bacteria of swine disease. Nevertheless the possibility of an occasional transmission from animal to man can not be wholly set aside until more thorough bacteriological investigations of human diseases shall have been made in those localities where infec- tious swine diseases are very prevalent. It is of interest to note that among human diseases typhoid fever bears a close resemblance to hog cholera, not only as regards the gen- eral character of the specific bacteria, but also with reference to the disease itself. Again the diplococcus of croupous pneumonia in man has many points of likeness with swine-plagne bacteria. The general pathological effect as well as the tendency to produce various forms of disease by localizations, such as pleuritis, pericarditis, meningitis, are strikingly similar to the miscellaneous lesions caused by swine plague bacteriii. Typhoid fever and pneumonia are not infrequently associated in man, thus affording another point of similarity to the frequently asso- ciated swine diseases. Another peculiarity which is common to the pneumonia bacteria in man and to those of swine-plague is their frequent occurrence in the mouth and upper air-i)assages of man on the one hand, of swine on the other.* * See the following chapter and appendix. ATTENUATED SWINE-PLAGUE RlCTEllIA IN SPORADIC CASES OF PNEUMONIA AND IN SEPTIC DISEASES OF SWINE, AND IN THE UPPER AIR PASSAGES OF HEALTHY SWINE AND OTHER DOMESTICATED ANIMALS.* During the iuvcstigatious of the epizootic forms of swine plagne described in these pages, bacteria not distinguishable from those of this disease were occasionally encountered in sporadic cases of pneu- monia. Tlie affected swine were usually those which had been exposed to hog cholera or swine i)lague, or mixed outbreaks, or had been inocu- lated and had survived. They were kept isohited for a time by them- selves or with other cases of similar history, and they generally died after some montlis or became so unthrifty that they were killed. Occasion- ally they died with some inflammation of the serous membranes, such as peritonitis, pericarditis, or pleuritis. In such cases when examined swine plague bacteria were as a rule detected. These lesions were attributed to injuries which the swine, penned together, inflicted upon one another by fighting. If we bear in mind the variety of lesions which may be produced by swine plague bacteria when inoculated into healthy swine (pneumonia, pleuritis, pericarditis, peritonitis, inflamma- tion, and suppuration of the joints, inflammation with exudation in the iutestiues), we need not be surprised to encounter them in similar affections arising under the usual conditions. The sporadic cases of pneumonia were puzzling in so far as it was difficult to account for the presence of swine-plague bacteria. These, as we have shown, very easily perish by drying, and when in water and in media unsuitable for their development. How they can survive for weeks and months in the surroundings of swine is inexplicable. To find some other explanation I was led to examine the respiratory tract of apparently healthy pigs to see if here, in a manner analogous to the bacteria of pneumonia in man, they survived and became a poten- tial source of infection under certain conditions. The result was posi- tive in many cases. Swine-plague bacteria or bacteria not distinguish- able from them were found in the nose, at the base of the tongue and in the larynx of a certain number of healthy swine. * In this chapter no effort has been made to give an historical review of those experinieuts made by former observers which demonstrated the occasional vinileuco of the saliva of man and animals. The general relationfihip of these bacteria from various domesticated animals to swine plague bacteria is, 1 think, brought out for the first time in these pages. See also appendix to this report. lOG 110 The cases which have come uuder our observation may be grouped into several classes : 1. Sporadic pneumonia. 2. Other aflections, chiefly inflammations of serous membranes. 3. Older animals having passed through diseases but apparently healthy. 4. Younger animals not known to have been exposed to disease, 5. Animals entirely free from these bacteria. Groups 1, 2, and 3 generally include, in our observations, older ani- mals. The method used in all cases was the subcutaneous inoculation of rabbits with the tissue, secretion, or exudate suspected of carrying these bacteria. The inoculations were made in part conjointly with Veterina- rian F, L. Kilborne; in part by him alone. Great care was taken to prevent infection from external sources. At first only the nasal secre- tion was used. This was drawn up with a sterile pipette and then in. troduced into the subcutis of the rabbit through a small incision in the skin. This method did not seem quite satisfactory, and in a num- ber of cases the animal was killed by bleeding, the mouth carefully ex])osed from below and mucus collected from the base of the tongue, the posterior nares, epiglottis, and from beneath the vocal cords. The mucus was placed in a sterile watch glass. The skin of the rabbit was freed from hair and thoroughly washed with a solution of mercuric chloride 1:500; with flamed scissors, the skin was cut through usually on the side of the abdomen, a little pocket formed, and a drop of mu- cus put into it with flamed forceps. The incision was either left to itself or united with a stitch of sterilized silk. These precautious thus prevented any external infection. At the same time a prolonged experience in such work leads me to believe that swine-plague bacteria are not transmitted in a dried conditiou, excepting, perhaps, for a few days only. The outcome of the inoculations also in- clined us to exclude any accidental infection. When several rabbits were inoculated with mucus from the same locality they either died together or both survived. The demonstration of swine-plague bacteria in the ui)per air passages of swine naturally led to an examination of the air passages of other domesticated animals by the same methods. These are reported by Dr. V. A. Moore, assistant in the laboratory, to whom this part of the work was intrusted. It will be seen from this report that an attenuated variety of bacteria, belonging to the group of swine-plague bacteria and not distinguishable from them, inhabit the mouth and upper air passages of such domesticated animals as cattle, dogs, and cats, and that some sporadic diseases among smaller animals, such as rabbits, guinea-pigs, and fowls, are caused by the same bacteria. This group has a wide distribution, therefore, and may be regarded as a more or less common inhabitant of the mucous membranes. Ill 111 tbo followiug brief synopsis of the cases illustrative of the above statements, tliey are grouped as nearly as possible iu accordance with the classification above outlined i 1. Sporadic pticumonia. — Pig No. 481. Placed in infected Log-cholera pen January 11, 1888. Since February 1, large sores are observed on the shoulders, attributed to bites inllicted by other swino in the pen. It died March 5, very much emaciated. In the Ciccum several crater-like ulcerations, involving the muscular coats. In the upper colon about a dozen ulcers, one-fourth to three-eighths inch in diameter. The ventral and cephalic lobes of both lungs and the roots of principal lobes, also foci in median lobe, hepatized, pale red. A bit of diseased lung tissue torn up in sterile bouillon and one-fourth cubic centi- metre injected into a rabbit. It died in 40 hours, with exudative peritonitis, due to swine-plague bacteria. Iu this case these bacteria may have come from the other animals in the infected pen. In the following case the source is not so obvious. No. 492, received at the Station January 25, 1888, with three others (490-493, in- clusive). In nialiiug inoculations from the nasal mucus of these pigs, to be described later. Dr. Killtorne noticed that the secretion w;i« mucopurulent, while in otlu^r pigs handled at the same tiuie it was serous. No. 492 became unthrifty, and died about a month after it was brought to the Station. The lungs were firmly bound to diaphragm and chest wall by old adhesions. The ventral and cephalic lobes, the roots of the principal lobes of both lungs and the me- dian lobe airless, iu condition of broncho-pnoumonia. The catarrhal masses in the alveoli appeared as a pale grayish yellow, delicate mottling under the pleura. Throughout the hepatized portions are yellowish necrotic foci one-sixteenth to one- eighth inch in diameter. The smaller bronchi contain a soft, creamy muco-pus. In the large bronchi, the mucosa hypenemic. Bronchial glands enlarged, very pale and firm. Two rabbits inoculated as in prece ding case. One died iu 40 hours, tlie other on the third day. Bacteria showing the polar stain present in large numbers in organs of the first; iu small numbers in tlie second rabbit. In cultures they are not distin- guishable from s-wiue-plague bacteria. Pig No. 267, received October 16, 1889. This animal belonged to a lot of swino which had been inoculated with attenuated hog-cholera cultures and subsequently exposed to hog cholera. The animal died January 2, 1890. In the lungs were regions of collapse and broncho-pneumonia, as well as marked bronchitis. From the abun- dant mucus in the upper trachea two rabbits were inoculated. They succumbed on the fourth and the sixth days, respectively, to an exudative and hemorrhagic peritoni- tis characterized by the jiresence of swine-plague bacteria. Pig No. 188. This animal was jdaced in an infected hog-cholera pen March 13, 1889, and removed iu 5 days. It was killed December 9, after a long period of unthrifti- ness. The ventral lobes of both lungs were hepatized, of a grayish-red appeai'ance (broncho-pneumonia). The liver covered with bluish and whitish patches, in which the interlobular tissue is thickened. This thickening is limited to the surface. One rabbii; inoculated with mucus from larynx died in 10 days, with oxteusive subcutane- ous purulent infiltration and exudative peritonitis. The only bacteria found were the swine-plague bacteria. Pig No. 308 was purchased from a neighboring farm February 7. Four days later it was killed and hepatization of a portion of both prinicipal lobes determined, to- gether with bronchitis of the air tubes leading to these diseased regions. Two rab- bits were inoculated from the tracheal and pharyngeal mucus, and one from the hepatized lung. The latter remained alive, while the two former died in 3 and 4 days, respectively, with extensive exudative peritonitis. The swine jjlague bacteria alone were present in the organs of both rabbits. 112 Pig No. llii was placed iu an infected hoof-cholera pen January 22, 1889, where the swine-plague disease was present. September 2 it was transferred to another pen, and killed January 13, 1890. The internal organs were healthy, with the exception of the lungs, iu which there were several small foci of collapse and some lung worms. One rabbit inoculated with nasal mucus from the base of the tongue died in 3 days. There was considerable phlegmonous inflammation and peritonitis as the result of the inoculation. The peritoneal exudate contained immense numbers of swine-plague germs. The other rabbit inoculated with mucus from below the vocal chords died in 3 days with the same lesions and bacteria present. 2. Other affections. — Pig No. 180. This pig was exposed to hog cholera in an infected pen March 13, removed March 18. It survived the exposure and was killed June 4. Its internal organs were normal with exception of the peritoneal cavity, which con- tained a considerable quantity of cloudy serum, the result of peritonitis. Four rabbits were inoculated from mucus obtained from below the vocal chords and at the base of the tongue. The two inoculated from the latter source died in about 24 hours. In both the spleen and blood contained largo numbers of swine-plague bac- teria. The two inoculated with tracheal mucus died within 36 hours. The spleen of both contained large numbers of the swine-plague bacteria. Pig No. 202. This animal was fed in May, 1881), with small quantities of culture li(iuid containing hog-cholera bacilli twice a day for a week without producing a fatal disease. November 15 it was penned with No. 119, which harbored the swine- plague germs. February 14 it was killed by bleeding, and two rabbits inoculated with mucus from the base of the tongue and from the larynx respectively. Both rabbits died, one in 3, the other in 4 days. The lesions consisted in subcutaneous in- flammation and exudative, partly hemorrhagic peritonitis. Swine-plague germs were present in the various organs, especially in the peritoneal exudate. No. 37. This animal had been inoculated in the lungs with a culture of swine- plague bacteria, October 8, 1888. January 27, 1889, it was exposed to hog cholera, which exposure it survived. It was killed August 16, in a very good condition. The only noticeable abnormal condition was the firm adhesion of the right lung to the chest wall by means of firm, fibrous tissue, the result of the swine-plague inoculation. The lungs themselves healthy. Three rabbits were inoculated with mucus from the respiratory passages (tongue, nose, and larynx). All three rabbits died, two in 48 hours, the third in 4 days. In the latter the inflammation at the jilace of inoculation and the peritonitis were most pronounced. In the organs of all three rabbits the swine-plague bacteria were present, especially numerous iu the peritoneal exudate. The followiug case is of importance, because the bacteria obtained from it were tested upon pigs and found virulent. No. 164 survived a hog-cholera exposure early in 1886, and in June of the same year was transferred to another pen. It was kept until October, 1887, at which time it died of peritonitis, probably occasioned by injuries received in fighting with other pigs in the same pen. No bacteriological examination was made of the peritoneal exudate, but two rabbits were inocnlated with mucus from the trachea. One died iu 20 hours ; in the various organs numerous bacteria showing polar stain. The other died on second day, with the same bacteria, as demonstrated by the micro- scope and cultures iu bouillon and gelatine. To test farther the relative virulence of these bacteria a peptone bouillon culture was prepared, of which two mice received subcutaneonsly one-twelfth cubic centi- metre ; two pigeons received subcutaneonsly and into the muscular tissue one-fonrth cubic centimetre ; one guinea-pig received subcutaneonsly one-eighth cubic ceutime- tre, and one rabbit one-twelfth cubic centimetre. The guinea-pig and the pigeons remained well. One mouse died in 24 hours, the other in 3 days. In the first large numbers of bacteria; in the second few. The rabbit died within 2 days. In tliis animal there was slight infiltration of skin and 113 subcutis at point of inoculation. Peritonitis. Invagination of lower colon. In tlio various organs and peritoneal exudate numerous bacteria showing polar stain. The pathogenic character of these bacteria was further donioiistrated by inocu- lation of swine. November 11, 1887. No. 431, 6 weeks old, received into right lung through chest wall 2i cubic centimetres of a peptone bouillon culture. No. 432, 6 weeks old, received the same. No. 433, 6 weeks old, received 5 cubic centimetres subcutaneously. No. 433, though affected by the inoculation for a time, recovered. No. 431 appeared paralyzed and unable to get up 3 or 4 days after the injection. Respirations somewhat quickened. It took very little food. Found dead 14 days after inoculation. Slight infiltration in subcutis at point of injection. Right lung collapsed. Pleu- ral cavity half full of blood-stained serum. Considerable spongy, yellowish exudate is loosely attached to the walls of the thorax, the lung surfiice, and the diaphragm. The lung tissue is not hepatized excepting a small mass which is necrosed and which probably represents the place where the needle penetrated. Left lung not affected, closely bound to thorax by fibrous adhesions which give way without much diffi- culty. The lymph gland near root of neck very large, whitish on section, small yel- lowish foci in cortex and medulla. Slight fibrinous exudate and considerable yellow serum in abdomen. In upper and middle portion of colon, the mucosa is covered by patches of a very thin grayish deposit, suggesting necrosis of the surface epitheliuiji. Cultures from spleen negative; those from pleural exudate show the injected bac- teria only. A rabbit inoculated subcutaneously with about one drop of serum from the pleural cavity diluted in sterile beef infusion died within 48 hours. No local re- action or peritonitis. Innumerable polar-stained bacteria in the spleen, which is enlarged, friable. Fewer in the liver ; still fewer in blood from heart. Cultures re- vealed the same organism. No. 432 breathed with difficulty for several days after the injection. It seemed feverish and refused food. Within two weeks it was greatly improved. December 27 its rectum was prolapsed and it died a week later. At the autopsy the cause of death was found to be invagination and rupture of ileum. The lungs presented some inter- esting features. The right lung was adherent to thoracic walls and diaphragm by means of fibrous tissue not yet very firm. The left lung was adherent in several places. The various lobes of the right lung were bound together by fibrous tissue and to a tumor lying between principal and ventral lobe along ventral border of lung. The tnmor was removed by careful dissection, the lung tissue being slightly con- densed and hyperaemic near attachment. There was no hepatization of either lung. The tumor felt tense, walls about one-eighth inch thick, inside dark red. Contents putty-like, grayish, made up of pus. Pericardium thickened andfittached in several places to epicardium, which is likewise thickened, opaque. In a gelatine-roll culture inoculated with a particle of the dry pus numerous col- onies of the injected bacteria appeared after a week. A rabbit inoculated with a particle of pus died in 5 days with considerable local infiltration and enlarged spleen. No peritonitis. In the spleen a moderate number of bacteria identified in cultures with those originally injected into the pig. These bacteria were in every way like the various swiue-plague bac- teria with oue exception. In liquid cultures when one or two days old, translucent capsules could be seen surrounding the bacteria individu- ally when the liquid was examined in the hanging^ drop and the border of the drop was carefully scrutinized. This method I have found of much service in disclosing the presence of these glassy envelopes when dry- ing and staining failed to bring them into view. The bacteria, as they 1G14 8 114 are drawn to the border of the drop, do not touch one another, but re- main separated from each other by a space of defiuite width. Careful focussing then will also bring out the very faiut outlines of the oval transparent capsules. In the inoculations above described, the capsules served as an important means of identifying these swiue-plague bacteria from case to case. 3. Older animals apparently healthy hut previously exposed to disease. — Under this head would come some of the cases already recorded and the following : No. 420 had been inoculated with hog-cholera bacilli October 6, 1887, and with swine-plague bacteria October 20. March 1, 1888, a drop of mucus takeu from nares with a capillary pipette and forced into subcutis of a rabbit through a skin incision. The rabbit died in 10 days with exudative pleuritis. the exudate containing swine- plague bacteria. No. 219. This animal was inoculated subcutaneously with attenuated hog-cholera cultures September 27, 1889. It was killed January 13, 1890, and found normal. There was at the place of inoculation an encysted caseous mass about 1 inch in diameter. Three rabbits were inoculated with mucus from the respiratory tract. Of these but one rabbit died on the 11th day with purulent pleuritis and pericaroitis. Swine- plague bacteria were obtained from the exudate and their virulence tested by inocu- lating a fresh rabbit with a pure culture. 4. Animals not known to have been exposed to disease. October 6. Nasal mucus obtained from the nares of a healthy pig on a ilamed glass rod is stirred up in sterile water and one-half cubic centimetre injected subcutane- ously into two rabbits. No. 1. Dead October 12. Purulent thickening of the subcutis at point of inocula- tion and extending thence over abdomen and thorax as a sanguiuolent eli'usion. Per- itoneum roughened. A cover-glass placed on caecum, removed and stained, shows immense numbers of bacteria exhibiting the polar stain. The same bacteria scarce in blood, spleen and liver. No. 2. Dead October 13. Lesions as in No. 1. Exudative peritonitis with ecchy- moses on ciecum. Cultures from both cases on gelatine and in bouillon contain only swine-plague bacteria. Additional inoculations were made February 2 and March 1, 1888. Nasal mucus from supposedly healthy pigs was collected in a capillary pipette and a drop forced with a rubber bulb into a subcutaneous pocket made by an incision through the skin. The incision was closed with collodion. Date. Rabbit No. From pig No. Result. Feb. 2 Feb. 2 Feb. 2 Feb. 2 Mar. 1 Mar. 1 Mar. 1 Mar. 1 Mar. 1 Mar. 1 Mar. 1 1 2 3 4 5 6 7 8 9 10 11 483 484 493 491 490 491 493 483 482 484 468 Negative. Do. Dies in 48 hours. Large numbers of polar-stained bacteria in blood, spleen and liver. Negative. Dies in 7 days. Extensive purulent infiltration of subcutis; cul- tures negative. Negative. ' Do. Dies in 13 days. Pneumonia and exudative pleuritis. Dies in 7 days. Same as No. G. Bacteria obtained from spleen in cultures fatal to a rabbit in 48 hours. Dies in 13 days. Same as No. 9. 115 No. 468 belonged to one lot brought to Station January 4, 1888. Nos. 490 to 493, inclusive, to another lot brought to Station January 25, 1888. Nos. 481 to 484, inclusive, to still another lot brought to Station Janu- ary 10, 1888. The inoculation disease in the rabbits varied considenibly. In one, death ensued in 48 hours. Nos. 6 and 10 died in 7 days, and in both there was extensive purulent in- filtration of subcutis over abdomen and thorax. Finally, in Nos. 9 and 11 there was exudative pleuritis with pneumonia. In No. 9, one-half, in No. 11, the whole of the left lung hepatized. In the pleuritic exudate aud the lung tissue large numbers of polar-stained bacteria. None of the three lots of pigs were thus free from these bacteria. It will be noticed that the mucus from four pigs was tested twice aud that the results were not uniform. No animal produced disease more than once while one failed to produce disease both times. rig No. 303. January 28, 1890. This animal was taken from a herd which had been purchased Jauuarj' 25. The farm from which it came is said to have had some form of swine disease on it nearly a year ago. The thoracic organs of the pi"- were normal in appearance. Two rabbits were inoculated, one with mucus from the larynx, the other with mucus from the pharynx. Both succumbed on the third and fourth day, respectively, to exudative peritonitis. In the exudate the swine-pla"-ue bacteria were quite abundant. December 24, 1890. No. 447, about 4 months old, received yesterday with a lot of other pigs from a farm which has been free from disease for several years. The pi"- was killed by bleeding, and although it seemed well, the anterior half of both lun"-3 was found diseased. The diseased lobes were of a pale red appearance and seemed cedematous rather than hepatized. There was considerable muco-puruleut secretion in the smaller bronchi. In the terminal bronchi of the principal lobe some luu"- worras. One rabbit was inoculated subcutaneously with a particle of lung tissue and two Avith mucus from base of tongue. The former remained well ; both the latter died. One died within 40 hours with considerable local purulent infiltration of skin and subcutis. Spleen enlarged, containing bacteria showing polar stain. Culture on ao-ar from spleen contains only swine-plague bacteria. The second rabbit died in 3 days, ■with very extensive subcutaneous infiltration and exudative peritonitis. Spleen en- larged and dark colored. In the organs few bacteria, in the exudate a large number. Cultures from spleen and exudate contain only swine-plague bacteria. In order to test the virulence of these bacteria in pure cultures, an adult rabbit was inoculated subcutaneously with an equivalent of one five-huudredths cubic centimetre bouillon culture diluted in bouillon. The rabbit died on the fourth day with lesions like those of the preceding case. 5. The results thus far obtained must not lead us to infer that all swine carry with them bacteria closely allied to swine-plague bacteria. Some herds are entirely free from them, as the following statements will show : Pigs Nos. 116 to 133 were received January 4, 1889, from a place in the District of Columbia where swine diseases have not prevailed for a number of years, and where much care is bestowed on the rearing of swine. From four of these, nasal mucus was collected aud four rabbits inoculated subcutaneously with one or more drops. All remained well. From another lot of eight, received February 4, two were tested. The results were likewise negative. 116 To test tlie matter somewhat more thoroughly iu subsequent cases, the auimals to be examined were killed and mucus taken from various places in the upper air passages. No. 205, one of a lot regarded healthy, killed June 15,1889. Pericardium firmly adherent to the heart. Three rabbits inoculated with mucus from posterior uares, the base of tongue and from below vocal cords. All remained well. No. 207, from another lot, killed on the same day. The organs were in general healthy with the exception of the large intestine. The mucous membrane appeared to be in a state of mucous degeneration. It was swollen, partly translucent. On valve and along colon small patches of a thin, friable, yellowish deposit. Five rab- bits were inoculated— two from this deposit, three with mucus from trachea, poster- ior uares, and base of tongue. All remained well. It would be going too far to maintain that all forips of lung disease were the result of the invasion of swine-plague bacteria. The absence of these bacteria is well illustrated by an outbreak of hog cholora in- vestigated in the fall of 1887, and reported in the special report on hog cholera, pp. 39-52. In about one half of the fifty cases there was some disease of the lungs. This was in part simple collapse, in part broncho-pneumonia involving one of the small ventral lobes. Of the sixteen rabbits inoculated with particles of diseased lung tissno from sixteen cases, four survived and the remainder died of hog cholera. Swine-plagiie bacteria were not de- tected. It is reasonable to assume that if they had been present in the upper air passages they would have sooner or later invaded the diseased lung tissue and appeared in the inoculated rabbits. In addition to the foregoing experiments a few inoculations into rab- bits were made with mucus from the coecum of healthy pigs, but they were negative so far as swine-plague bacteria are concerned. The mucus was taken from the crypts on the ileocecal valve and the sur- face of the patch in which they are imbedded. Ciecum No. 1. One rabbit and two mice inoculated subcntaneously. No result. CtecumNo. 2. One rabbit inoculated. Died iu 8 days. Extensive sauguinolent and purulent inflammation of the snbcutis of abdomen. Peyer's patches swollen and pig- mented. The appendix of caecum swollen, blackish; ulceiB on mucous surface. Cul- tures from iuternal organs wholly negative. Cfecum No. 3. One rabbit inoculated. Died in 8 days. Snbcutis and appendix as iu preceding case. Cultures sterile. Ciecum No. 4. One rabbit inoculated. Died in 11 days. On thigh, an abscess be- tween muscles half as large as a hen's egg. Center disintegrated iuto a curdy mass. No other lesions. In the pus of abscess large numbers of bacilli of various lengths, staining feebly. They fail to grow in culture media. Internal organs free from bacteria. It may be claimed that the presence of swine-plague bacteria on the mucous membranes of healthy swine and other domesticated animals is an argument against the specific character of swine-plague bacteria, and hence against the existence of a specific disease induced by them. We have already met this argument by the numerous successful inocu- lations of swine-plague bacteria into healthy swine, by which a disease 117 like the natural disease has been jirodaced. The attenuated virulence of the bacteria in the air passalague bacteria, but it certainly does not describe the rapid motion across the microscopic field so characteristic of hog-cholera bacilli.* This very incomplete description of the bacteria found by Billings leaves us, therefore, entirely in the dark. The form, mode of staining, and the motility, apply to swine-plague bacteria, the potato growth, perhaps, to hog-cholera bacilli. How can we reconcile this conflicting account ? Bearing in mind the fact that in the organs of swine which have succumbed after extensive lesions of the lungs and large intes- tine, it is not an uncommon thing to find various forms of bacteria, hncillus coli, non-motile bacilli (also found in intestines), streptococci, gas-producing, spore-bearing bacilli, etc., either alone or associated with the real cause of the disease, we find ourselves unable to explain his discovery because we have no full and accurate report of investiga- tions actually carried out. The description he gives may apply so far as we know to the bacteria found in one hog, in five hogs, or in a hun- dred hogs. It is obvious that the amount of conviction his statements carry depends entirely upon the number of animals to which such state- ments apply. An explanation which covers the ground of the statements made by Billings fairly well is one which takes into account the mingling of two diseases. Since 1886 we have seen very few outbreaks of hog cholera not associated with swine plague. The investigations recorded in these pages show how frequently it may occur that a culture may contain *In his report on the " corn-stalk" disease of cattle, page 18G, Billings seems to have lost his doubts concerning the motility of the hog-cholera (swine-plague of Billings) bacillus. He there considers it by comparison "to possess most active movemeuta." 120 both swine-plague and hog cholera bacilli, or that the cultures from one animal contain only swine-plague bacteria, those from another of the same herd only hog-cholera bacilli. Again this report illustrates that we may be called upon to investigate an outbreak of swine disease in which hog cholera bacilli are demonstrable in every case, and iu the succeeding one we may find only swine plague bacteria or a mixture of both germs. It is highly probable that Billings had under observation now one germ, now another, and occasionally a mixture of both. With this ex- planation* iu mind we may easily interpret the conflicting account of the bacteria given by Billings, especially if such statements are based on a small number of cases only. This explanation is the more plaus- ible when we turn to the method used by Billings iu obtaining pure cultures from animals. While, on the one hand, his cultivation methods "were insufBcieut to determine accurately whether cultures contain more than one organism or not, he unwittingly assumes,, on the other hand, first, that the bodies of diseased swine always contain only one kind of bacteria, and, second, that this kind is always the same. These as- sumptions anyone will recognize on reading page 103 of his report. How much information can be obtained by such deductive method of l)ursuing a most inductive branch of scientific investigation, the reader must be allowed to judge for himself. It may be noted, however, that such vicious methods furnish ample material for the attack upon work done by others. Again, the examination of 5 hogs, or of 500 hogs, made over a lim- ited territory with a uniform result, does not permit us to generalize negatively on the swine diseases of the remaining millions scattered over the whole country. This attitude is to be regretted the more * A good illustratiou of the iilansibility of this theory may be foimd on pp. 191-197 of the report of Billiugs, whei'e the results of some iuocnlatioua of smaller auimals are detailed. These may be tabulated. One rabbit, iuocukited with ouo-half cubic centimetre bouillon culture, subcu- taueously, May 14, dies in 3 days. One squirrel, inoculated with one-half cubic centimetre bouillon culture, subcu- taneously. May 14, dies in 3 days. One rabbit, inocuhited with one-fourth cubic centimetre spleen emulsion of preced. iug rabbit, May 17, dies in 6 days. One rabbit, inoculated with seven drojis of blood, etc., from pig, subcutaneonsly. May 23, dies in 1| days. In this series the dose injected into the first rabbit is too large to bring out the diiiereutial characters of either hog-cholera or swine-plague germs. In the second rabbit death was probably due to hog-cholera bacilli. In the third it was certainly due to swine plague, since the most virulent hog-cholera bacilli would not destroy rabbits iu the dose used, iu less than 4 to 7 days. In the report on the corn-stalk dis- ease already referred to (1889), Billiugs states that a certain germ could not " be that of swine plague (hog cholera) on account of its acute fatality." These later opinions are refreshing in being iu the right direction as far as hog cholera is con- cerned. 121 wlieii we reflect on tlie fact tiiat the area of diseases is largely (lefined by geographical, climatic, aud economic factors. In his report, Billings throughout denies the existence of the hog- cholera bacillus first described in the Bureau Report for 1885. This denial may be found scattered throughout the report. Then we must assume that he considered the swine-]>lague bacteria as the cause of American swine diseases. This assumi)tion is proven by his repefited, almost continuous, discussion of the European iSchiceineseuchenixdWild- seiiche.* This continual dragging in of the work of European observers can only be understood by assuming a great similarity or a possible identity between the bacteria in the hands of Billings and those of Schireineseuche, as described by Lol'ller, SchiltZ; lliippe, and others. On the other hand, the pathological appearances in these diseases differed so greatly that Billings found it necessary to occu])y the greater part of his report in needlessly pointing out likenesses and dilferences. Up to this point, then, it seems that Billings regarded his swine dis- ease bacteria as the same morphologically witb the German Wiklseuche, aud that he denied the existence of the hog cholera bacillus. Mean- while we studied his publications and made every effort to determine what bacteria he was studying, but without success, owing to the im- l)erfect diagnosis given and the i)eculiar intermingling of the ])roper- ties of the bacteria of hog cholera and swine plague found in bis report. In 1889, however, to our surprise, the commission appointed to throw some light on this matter found Billings in possession of real hog-chol- era bacilli. Cultures were sent by him to Berlin, where a comi)arison of these cultures with some sent from this laboratory likewise demon- strated that his swine-plague bacteria were identical with the hog- cholera bacilli discovered in the Bureau laboratory in 1885,t nearly a year before Billings began his work in Nebraska. All these facts make it highly probable that Billings had unwittingly studied at least several kinds of bacteria, among which the swine-plague bacteria of this report must have played an important part. In a recent article! on swine diseases, prepared under Hiippe, the author mentions the fact that Billings had sent cultures at two different times, which, though considered by the sender as identical, were really quite differ- ent. In another article Caueva,§ working under Hiippe in Fresenius' laboratory, endeavors to group the various bacteria ])roducing swine disease, and in so doing separates the bacteria sent by Billings from hog-cholera bacilli, because the former were less acti\ely motile, coagu- lated milk, and produced only local reaction after subcutaneous inocu- lation. They also failed to infect by feeding. While these bacteria may represent an attenuated variety of hog-cholera bacilli so far as their * Compare also page 141 of tins report, t Froscb. Zeitsclirift fiir Hygiene, ix, S. 235. tBiinzl-Federn. Archiv f. Hygiene, xii, S. 198. $ Centralblatt f. Baliteriologie, IX, 8. 557. , 122 virulence is concerned, none of the hog-cliolera bacilli from numer- ous and widely separated localities examined in this laboratory ever produced coagulation of milk. Bacteria of the latter class are chiefly harmless intestinal parasites which closely resemble hog-cholera bacilli {bacillus coli) and which occasionally appear in cultures from cases of swine disease. If, therefore, Billings had found the hog-cholera bacillus the question arises : Why did he fill up his report with pages of extracts, comment, and criticism of the European Schweineseuche, when the bacteria of hog cholera and SchweineseucJie are wholly different, as every observer has admitted who has compared them ? Such discussions are not only use- less, but misleading, when brought to bear upon the condition of things in our own country. In view of these facts the question also arises: Why did Billings so vehemently oppose the hog-cholera bacillus described in the Bureau Eeport of 1885, and found by us to exist in Nebraska before Billings entered upon his work there, if he had it under observation himself? These contradictory positions can only be interpreted by the assumption made above, that Billings had at first one or several kinds of bacteria under observation differing from the true hog-cholera bacillus. If we are nevertheless to conclude that Billings has finally settled upon hog-cholera bacilli as the cause of swine disease in Nebraska, any further comment on his work could only be taken up under hog cholera. The question whether there is another disease besides hog cholera is settled in the affirmative by the work reported in these pages. This second disease seems to be in fact the disease which Billings has had in mind in his controversies, and his criticisms of American and for- eign work. Unfortunately, however, it has turned out that he has mistaken the disease, and now his opposition strangely enough has shifted towards the swine-plague bacteria, since an attitude of opposi- tion towards hog cholera could no longer be maintained.* It is clear to any unbiased reader that work which fViils to grasp any positive truth, and is continually shifting its base to avoid the necessary consequences of serious errors, and which goes beyond its confines not only to criticise, but to discredit in every manner possible the work of other observers, can not be seriously taken into consideration as advanc- ing in the least degree our positive knowledge. During the years 1887-'89, Professor Welch, in conlunction with A. W. Clement, V. S., and F. L. Kussell, V. S., investigated a number of outbreaks of swine disease in the neighborhood of Baltimore, Md. In » A simple atatement of the position of Billings would read thus : 1. Opposition to hog-cholera bacteria discovered in Bureau laboratory in 1885. i^vulence in his writings all points to swine plague. 2 Discovery by commission and German observers that his germ and the hog- cholera bacillus are identical ; hence, 3. Opposition to swine-plague bacteria. - 123 a preliminary report published in the Johns Hopkins Hospital Bulletin, December, 1889, Welch gives a brief summary of the results obtained up to that date. These investifjators encountered in some herds oid^- liog-cholora bacilli, in others only swine-plague bacteria, and in still others both kinds of bacteria. They have not been able to fix upon any anatomical differences between the herds in which hog-cholera ba- cilli were found and those in whicli only swine-plague bacteria were de- tected, for in all cases intestinal lesions were present. The description of the two kinds of bacteria agrees in every respect with that published in the various reports of the Bureau of Animal Industry since 1885. With both the authors were able to produce disease in swine, intestinal lesions with hog-cholera bacilli and lung lesions, associated with inflam- mation of the serous membranes, with swine-plague bacteria. While the results agree in every particular with those obtained by us, Welch expresses himself with caution concerning the role of swine- ])lague bacteria, because in the herds studied none were free from intes- tinal lesions. He suggests the possibility of overlooking hog-cholera bacilli because they may remain limited to the intestinal tract, a possi- bility to which we have called attention in the report for 1887-'88, and in these pages. On the other hand the facts that pneumonia may be jiroduced by swine-plague bacteria, and that a swine disease exists in Germany in which j^neumonia without intestinal lesions is associated with swine-plague bacteria, " suggest that this organism is also the cause of a similar affectiou in this country." In 1889 and 1890 Dr. J. A. Jeffries* made bacteriological observa- tions in several outbreaks of swine disease of an infections character. In one pig -were found a large spore-bearing bacillus, a short bacillus, and swine-plague bacteria.t The short bacilli Jeffries found non-path- ogenic, while the third form, the swine-plague bacteria, he considers the cause of the disease. The description of the pathological appearances of the diseased pigs and of the swine-plague bacteria found by him, taken together with the inoculation experiments and the absence of hog-cholera bacilli, make it pretty certain that the disease was identical with that described in these pages. Through the kindness of Dr. Jeffries a culture of the swine.plaguc bacteria was sent to the laboratory, where a comjiarative study of the morphological and i)athogenic characters showed them to be an at- tenuated variety of swine-plague bacteria, not distinguishable from those described in these pages. A few of the inoculations on rabbits * Etiology of two outbreaks of disease among hogs. The Journal of Corap. Medi- cine, December, liidO. tThe spore-bearing bacillus I have found in many outbreaks as the result of post- mortem growth. In some pigs sections from every organ show these long wavy fila- ments filling up the capillaries and penetrating the tissue in all directions. See also page 80 of this report. 124 are given to illustrate the variety of lesions which these bacteria may produce. Tho culture was first tested by plate cultures and two rabbits inoculated from a bouillon sub-culture. June 3, 1890. One rabbit received oue-eightb cubic centimetre subcutaueously, and one one-eighth cubic centimetre into an ear vein. In both the temperature was between 105-^ and 106° F. on the sixth day. On the tenth day the first had recovered; the second, unable to move hind limbs, was chloro- formed. The only lesions observed were two abscesses, one on the right tarsus, the other on left elbow joint, both communicating with the joint cavity. The culture was thus considerably attenuated. Nothing more was done till Decem- ber, when the same culture, passed through a series of agar tubes meanwhile, was used, because attenuated, for some preliminary immunity experiments on rabbits The virulence of the bacteria was much greater now, as the following inoculations prove. Attention is called to the great variation in the lesions produced, and to the pneumonia in No. 5. December 8, 1890. Two rabbits (Nos. 1, 2) received subcutaueously one-eighth cubic centimetre bouillon culture, and two (Nos. 3, 4) the same dose into an" ear vein. No. 1 dies in 7 days with extensive purulent infiltration of the subcutis over abdo- men and thorax, purulent peritonitis and pleuritis. No. 2 survives. No. 3 very sick on the fifth day and chloroformed. A subcutaneous purulent in^ filtration extends from place of injection on the ear over the greater part of face. No other lesions observed. No. 4. Temperature on third day 105.5° F. Dies on the fifth day with peritonitis and pleuritis. The exudate stretches in the form of delicate grayish viscid threads between coils of intestine when these are lifted up, and from chest-wall to pleura of lungs. The exudate a mixture of leucocytes and immense numbers of bacteria. As these experiments were designed to find a dose which would not prove' fatal they were repeated. December 16. Two rabbits (Nos. 5, 6) receive a subcutaneous injection of one-eight- hundredth cubic centimetre bouillon culture, and two (Nos. 7, 8) an intravenous in- jection of the same dose. In all cases the culture was diluted and one-fourth cubic centimetre of the dilution injected. No. 5 dies in 9 days. Extensive purulent infiltration of subcutis over abdomen and part of thorax. Exudative peritonitis absent. Purulent pleuritis with exudate es- pecially abundant on right lung and chest-wall. Hepatization of the two small anterior and portion of principal lohe of same side. The hepatized lobes in part dark red and pale red, firm and enlarged. Epicardium covered with a membranous exudate. In the exudate numerous bacteria showing the polar stain. 'No. 6. Temperature on second day 105° F. Dies on sixth day. Extensive purulent and sanguinoleut infiltration of the subcutis as in preceding case. Spleen barely en- larged, somewhat darker than normal. No peritonitis or pleuritis. No. 7. Temperature 105.2° F. on second day. Dies on thirteenth day. Extensive subcutaneous infiltration as in preceding case. Straw-colored, elastic membranous exudaie on liver, spleen, and ca;cum, and between coils of large intestine, mattino- the various organs together. The exudate is easily pulled away and consists of fatty pus cells and immense numbers of swine-plague bacteria. In pleural sacs some serous exudate. Pale red hepatization of a small portion of the small anterior lobes of right lung. Spleen moderately enlarged, dark. Peyer's patches pigmented. In Kovember, 1890, Prof. T. J. Burrill, of Illinois University, sent two agar cultures of bacteria obtained from an outbreak of swine dis- 125 ease in Illinois. Both cnltures were carefully examined and found to contain only swineplaffuo bacteria. To test the pathogenic character two rabbits were inoculated. These inoculations prove the essential identity of these bacteria with swine-plague bacteria. November?. From a bouillon culture, 1 day oltl, oue-touth cubic centimetre was injected under the skin of a large rabbit. November 11. Rabbit found dead this morning. At point of inoculation purulent thickening of the subcutis. Ciccnm, colon and rectum sprinkled with hemorrhages. Slight viscid exudate on '■tocum which contains largo numbers of the injected bac- teria. Liver and kidneys pale. Spleen barely enlarged, dark in color. The agar and bouillon cultures from blood, spleen, and abdominal exudate contain only the in- oculated bacteria. November K5. A rabbit received subcutaneously on side of abdomen one-tenth cubic centimetre bouillon culture prepared from the second original culture. Rab- bit dies in 40 hours. A very slight infiltration at the place of inoculation. Spleen slightly enlarged and engorged. In it a considerable number of s wine-plague bact- eria showing the polar stain. Au agar culture from the spleen contains these bacteria only. GERMAN. Of great interest and importance to us are the German investiga- tions of swine plague {Sclnveineseuche), because this disease does not ap- pear to be complicated with any other disease, as is the case in our own country where swine plague and hog cholera are so frequently asso- ciated with each other. Probably the first inv^estigation in which swine-plague bacteria were observed is that of Loftier.* Only one pig was encountered in the course of a series of investigations on the continental disease of swine, known as rouget and Rothlauf, in which these bacteria were found, hi this case the lesions are given as follows : The skin of abdomen, Sexual organs, and neck of a livid red ; enormous oedema of the (sub) cutis of the neck, extending backwards between forelimbs. Pharynx red- dened and swollen. Laryngeal and tracheal mucosa intensely dark red. Lungs but slightly affected ; ou the right some dark red regions, containing but little air. Nothing abnormal abont the heart. Cloudy swelling of liver and kidneys. Mucosa of stomach and upper portion of duodenum intensely reddened. Remainder of intes- tines unchanged. Mesenteric glands not enlarged. Spleen rather large, dark bluish red, quite firm. The bacteria obtained from this case resembled those of rabbit septi- cfemia.t They killed inoculated rabbits and mice in 24 hours. Cruinea- * Arbeiten a. d. kaiserlichen Gesundheitsamte, I (1885), S. 51. t The term rabbit septicjemia originated in a series of experiments on rabbits by Gaftky, in 1881 {MittheUungen a. d. kaiserl. Gesundheitsamte I, 1881, S. 102), who pro- duced in these animals by the injection of polluted -water a rapidly fatal disease caused by bacteria closely resembling those of swine plague and some other animal diseases. (See p. 141 of this report.) The writer found bacteria causing septic dis- eases in rabbits, probably identical with these in 1886 (Journ. Comp. Med. and Sur- gery, Jan., 1887). Prior to Gaffky's work, R. Koch and Davaine had been experi- menting with a similar disease in rabbits. 126 pigs lived from 2 to 3 days after iuoculation. lu all there was extensive sero-sanguinolent infiltration of the subcatis, starting from the place of inoculation and extending in some over thorax and abdomen. In one the intestines were covered with a sanguiuolent and fibrinous exudate. Of three pigs inoculated (probably with minimum doses) one died in 2 days with the following lesions : Skin of abdoineu bluish red; euormons oedema of skin ; luugs hypostatic ; mucosa of stomach deeply reddened ; spleen unchanged; kidneys parenchymatous; mesen- teric glands not swollen. This first reported case is interesting in that the lungs were not the seat of disease. The disease of tichweineseuclie was established in a more definite man- ner by Schiitz in investigations carried on in 1885.* Since then it has been generally recognized as a disease distinct from Rotlilauf. The material with which Schlitz worked at this time con- sisted of — 1. The stomachs, spleens, and livers of three pigs, more or less decom- posed, June 15, 1885. 2. The stomachs and spleens of several pigs, August 27, from Putlitz. 3. The trunks of two pigs, November 19, from Putlitz. 4. Two entire pigs, December 13, from Putlitz. In a footnote the author states that several additional cases of this disease had come under his observation subsequently. In the four pigs of which Schiitz was enabled to examine the viscera, all were affected with more or less hepatization of the lungs associated with lileuritis, more rarely with pericarditis. In one of these four cases there was found, in addition to lung disease, peculiar caseous degen- eration of the joints of the limbs, involving the bones and surrounding muscles. The various lymphatic glands were greatly enlarged and con- tained cavities filled with grayish yellow, semi-liquid masses.t In the dis- eased lungs were disseminated yellowish necrotic foci varying in size. From all the cases examined bacteria were obtained which were evi- dently the same. Schiitz described them as follows: When stained with gentian violet they show in their central portions an unstained region surrounded by a layer stained blue. The thickness of this layer is greater at the poles, so that the extremities appear more deeply- stained than the sides. When deeply stained they appear uniformly blue. As these organisms stand between mi- crococci and bacilli, they may be called bacteria. They are 1.2 // long and 0.4 /x to 0.5 H broad. They multiply in the following manner: They become twice as long as broad; show distinctly rounded extremities, and stain like the organisms of rabbit septicicmia and fowl cholera, so that between the deeply stained ends about one-half or a third of the entire length remains unstained. Careful examination shows, how- ever, that the colored end pieces are connected with each other by a fine line which passes from one to another on each side. The end pieces then separate and the me- dian portion disappears. The former are at first spherical, but very soon assume an oval form. Hence from every organism two new individuals arise by division, in " Loc. cit., I (1885), pp. 376-413. t Compare cases on p. 75 of this report. 127 which by careful staiuiug the uncolored ceutral portion is easilj' distingnished from the colored periphery-. If the process of multiplication is very rapid, as in pigs and rabbits, the organisms do not attain the size given above, but divide before the un- stained median piece bcconios distinctly visible. Under these circumstances the or- ganisms of the succeeding generations are smaller, only one-half as large as, or even smaller than, those which have resulted from the slow division of the bacteria. The younger generations are frequently extraordinarily small, plainly oval, however, and staiuiug uniformly in gentian violet. They do not execute any spontaneous move- ments. These bacteria were fatal to mice, rabbits, and gninea-pios. Pigeons succumbed to large doses. Fowls and rats were not susceptible. A comparison of the virulence of these bacteria obtained from the organs of animals at the four different times indicated above, the last three being from the same locality, shows that it varied slightly : 1. Eabbits died in 2 days, mice in 1 and 2 days after inoculation. One pig 4 to 5 nu)nth8 old, which had received subcutaneously the contents of two Pravaz syringes of bouillon cultui-e subcutaneously, died in 24 hours. A second pig treated in the same way died in 48 hours. 2. Mice died in 24 hours. 3. Mice died in 24 hours ; rabbits in 2 to 3 days ; guinea-pigs in 4 to 8 days. 4. Mice and rabbits died in 24 hours ; guinea-pigs in 2 too days; one pig, which had received a syriugefnl of a bouillon culture into each lung, died in 2 to 3 days. The lesions in guinea-pigs, rabbits, and mice are, in the main, those obtained with the bacteria of our swine plague. The above table indi- cates that the bacteria from the last lot were the most virulent, as they w^ere fatal to rabbits in 24: hours. Through the kindness of Prof. W. H, Welch, of the Johns Hopkins University, a culture of the German swine-plague germ was obtained in 1880, and a second fresh culture in 1890, both from the Berlin Hygienic Institute. Both were compared with the American varieties of the swine-plague bacteria. While the bacteria in both cultures were iden- tical in form and biological characters with the swine-plague bacteria of this country, their pathogenic properties varied somewhat, as will be seen from the following experiments : June 18, 1889. From the original agar tube agar roll-cultures were made, and from 2 colonies peptone-bouillon cultures prepared. June 25. Two rabbits received subcutaneously one-eighth and one-sixteenth cubic centimetre, respectively, 2 mice each about one-sixteenth cubic centimetre. June 26. One mouse dead this morning. Large, dark spleen, fatty liver. No bac- teria detected in cover-glass preparations from blood, spleen, or liver. On the follow- ing day a few colonies had appeared in the agar culture from spleen. June 27. Second mouse dead. Spleen slightly enlarged, liver fatty. In spleen and blood very many swine-plague bacteria, exhibiting the polar stain. Neither of the rabbits died. The one which had received one-eighth cubic centi- metre had a temperature of 106.4 ° F. on the third day. The temperature of the other was not taken. Both were killed 18 days after the inoculatiou. The first rabbitcuu- siderably emaciated. On the inoculated thigh an abscess as large as a hen's egg, diadiarging from an opening thick pus. The suppuration had extended to the abdo- men, vwhere over 6 square inches of the subcutis was infiltrated with pus and firmly adheveut to abdominal muscles, In the second rabbit a small abscess as large as a Aiwrblfckin iupf-ulated thigh. Spleiisfli considerably enlarged. Feycr's patches swolleu. 128 The attenuated condition of these bacteria discouraged any attempts to determine their effect upon swine. The second culture received in 1890 proved to be a far more virulent type, since inoculation of rabbits was invariably fatal within 20 hours. These bacteria did not differ therefore in this respect from those obtained from outbreaks VII and IX. At the same time their viru- lence was still greater, as will appear from the following trials upon swine: January 9, 1891. Pig No. 435, black male, mixed grade, 4^ months old, received enbciitaneonsly into each thigh 2i cubic centimetres of a peptone-bouillon culture, or 5 cubic centimetres in all. Dies just 24 hours later. Pig No. 437, black and white female, 4J months old, one-half cnbic centimetre of the same culture injected into a vein of leg. Animal struggled so that the quantity injected may have been more or less than one-half cubic centimetre. Dead in 36 hours. In both animals there was considerable necrosis of the skin and oedema of the sub- cutis where the inoculation was made. These animals were not examined until post- mortem changes had appeared, owing to other work, so that the autopsy notes are omitted. The following two cases are of interest in that the quantity of culture liquid injected was smaller. February 11. No. 460, black and sandy female, 3^ months old, weight 60 pounds, inoculated subcutaneously with I cubic centimetre of a bouillon culture 24 hours old, one-half injected into each thigh. No. 461, animal of the same kind, inoculated in the same manner with 3 cubic centimetres. Both were found unable to rise on the following morning and died at 8 p. m., about 28 hours after inoculation. Autopsy early next morning. No. 461 in good condition, deneral blush of skin on ventral aspect of bodj' and limbs. Slight reddening of subcutaneous fat. On both inoculated thighs the connective tissue reddened and all minute vessels injected. On the right the connective tissue has also a glistening (Edematous appearance which extends upon abdomen as far as umbilicus. Considerable blood extravasation on pericardium and on epicardium along the base of the heart, interventricular grooves and left ventricle. Veins on the surface of the heart distended. In right side a very dark, soft clot imbedded in thick, tarry blood. Lungs normal. Intestines have a uniformly reddened appearance from the outside. Stomach about half full of food. Mucosa of fundus hypersemic. Mucosa of small intestine normal. In large intestine much dry feces. Mucosa of cjecum and colon of a wine-red color. Liver somewhat flabby. The surface has a mottled ap- pearance due to the varying hyperajmia of the lobules. In the gall-bladder a firm body which almost fills it out and has the appearance of beeswax. The body is readily crushed with the fingers. Surrounding this body is a yellowish-white, pasty mass. Kidneys hypenemic. In cover-glass preparations of blood and kidneys many bacteria exhibiting the polar stain ; in liver, only a few. On inclined agar traces from blood, kidney, and liver transferred with wire gave rise to a very dense growth of swine-plague liac- teria. No. 460. From the cut ends of the subcutaneous veins thick, dark blood exudes. Skin and subcutis as in No. 461, the vascular injection on the thighs more pro- nounced. Intestines and stomach appear much reddened from the outside. On the abdominal walls and coils of large intestine are little lumps of yellowish-white exudate. A few coils of the small intestine where they touch each other show bands of petechia} un- der serosa. 129 Coiulition of liwirt. ;V3 iu 4(31. TIio ri-rlvt vontral lol)(^ of lungs fasitMiotl to poricar- tliiiiu by two old adhesions. Soine8iil>ploiiral iKMOorrliai^os on principal lobes. .Slinlit ronjrbeuiug of plonra ovor the vontral iialf of both hiiigs. Paroncliynia noniial. Mucosa of fundus of stomach ovor an area G inclios in diaiiiotor uuicli rcddciu-d, the hypcra'uiia oxtending to subinncosa. Small iutostiiu) contains occasional patcibcs of congostod mucosa. In the largo intostino bypera-mia slight compared with 4<)1. Kidneys and liver as in 4G1. In the blood many swine-plague bacteria. Cultures therefrom aiul fiom kidneys confirmatory. It should be noted that wliile these German swine-plagiie bacteria were fatal after .subcutaiicoiis inocnlatiou, the only cultures of the American variety which killed swine after su(;h inoculation were from outbreaks I, J I, and IX. Even the bacteria from the latter outbreak, virulent as they were, failed in this respect iu all but one case.* Additional investigations concernino- iSchweineKeuche were made by Bleisch and Fiedelerf in 1888-'89. The disease appeared in Septetuber on a dairy farm, evidently introduced by recently luirchased animals. It spread amoug the swine in several different stables, even among those which did not come in direct contact with the pur(;hased animals, but were simply placed in the i)ens evacuated by the latter. Even after the disinfection of two stables the animals put into them contracted the disease. The investigations were continued nntil February, 1889, and in all fifty-two animals were examined. The disease had been compar- atively mild and chronic ; none of the infected died, and the lesions were observed In the slaughtered animals. During life the symptoms consisted of coughing, which increased in severity when fresh air entered the stables, difficult breathing, loss of appetite, and emaciation. The temperature fluctuated between 102° and lOS'^ F. The lesions observed in the bntchered animals were in the main limited to the thoracic organs. The anterior (or cephalic) lobes were involved in grayish-red hepatization, which iu more ad- vanced cases invaded the middle and posterior (ventral and principal) lobes, the latter only in isolated regions. The bronchus always forjiied the central point of the hepatization. As the disease progressed par. tial caseation of the hepatized tissue and of the bronchial glands took place. The caseous masses did not contain tubercle bacilli. Pleuritis was found only iu advanced cases, pericarditis still more rarely. The authors found in practically all cases bacteria, which they identify with the bacteria of Schiceineseuche or swine plague. They were obtained both by inoculating rabbits and fowls with particles of lung tissue, and more rarely on plate cultures from the lung tissue directly. The bacteria obtained are so far as the description goes identical morphologically with the bacteria found by Lofifler, Schiitz, and others. Their effect on rabbits differs iu some respects from the disease produced by the swine-plague bacteria proper. The disease * Sec p. 74. t Zeitschrift f. Hygiene, vi (1889), S. 401-452. > 1614 9 130 may last from 2 to 13 days. An examination of the text shows that some rabbits lived longer, one 27 days. At the point of inocula- tion there is more or less subcutaneous purulent infiltration with puru- lent lymphangitis. The liver contained in many cases embolic foci, which are described (p. 406) as partly branched, partly yellowish-white spots found on the surface and on section, and consisting of a pasty mass. A careful examination of the text fails to convince me that these embolic foci had any connection with the disease. Their descrip- tion suggests very strongly cysts of coccidium oviforme in various stages of enlargement. Thus a rabbit which died in 24 hours from an intratho- racic inoculation of these swine- plague bacteria showed at tlie autopsy "the liver very large, the surface studded with numerous, projecting, yellowish nodules as large as pease, similarly the cut surface." The coccidia, if such the3^ may have been, are easily overlooked in cover- glass preparations, for the method of preparation and staining de- stroys them pretty thoroughly. Moreover, these embolic foci do not, according to their report, appear with any regularity in the inoculated animals. Another point to be noted in the lesions of inoculated rabbits is the absence of exudative peritonitis or i^leuritis, which is a very constant lesion in rabbits inoculated with the American races of swine plague bacteria when they live more than two days after inoculation. While swine- plague bacteria have little or no effect upon fowls unless large doses are injected into the muscles, the variety under discussion was virulent enough to prove fatal to almost all fowls inoculated. Death occurred from one day to several weeks after inoculation. In one of these " liver emb oli " were observed. One pig which had received a Pravaz syringe full of bouillon culture of these bacteria died in ten hours. The lesions observed were pleuritic effusion, hepatization of almost the whole of the right lung. In the left there were isolated masses of hepatization. A second pig which received a subcutaneous injection had a slightly elevated temperature for several days, but it recovered subsequently. In several diseased pigs there were found ulcers on the surface of tlie body. In one a series of caseous cysts, starting from the castration wound and extending along the subperitoneal tissue as far as the um- bilicus, was observed. The relation of these lesions to the disease is, of course, not determinable. The authors, after having determined the cause of the disease, en- deavored to find out how the bacteria are transmitted from one animal to another. The swine examined belonged to one farm and were fed chiefly with sour whey. In this whey, taken from the troughs, bacteria probably identical with the disease germs were found on two different occasions. Further investigation revealed the fact that while fresli milk is not a good soil for these bacteria, sour whey is very favorable to their multiplication. The authors therefore explain the transmissioi) 131 of the disease by assuming that in the common feeding trough the bac- teria are mixed with the milli^.* Some of this accidentally getting into the air passages during feeding introduces the disease germs. This brief review of the investigations indicates that while the bac- teria found by Bleisch and Fiedeler are not hog-cholera bacilli and in general the same as swine-plague bacteria, there are some minor but constant differences to which attention has been called. It is a curious fact that these bacteria were attenuated with reference to rabbits, but still latal to fowls. Towards the varieties described in this report, the fowl, among smaller animals, manifested the greatest and the rabbit the least ])ower of resistance. It is not improbable that attenuation, as we understand the term, may imply a decrease of virulence as to one species and at the same time an increase as to others. It is not unreason- able to assume that a variety of swine-plague bacteria, apparently atten- uated so far as rabbits are concerned, may still i)Ossess virulent proper- ties as regards more refractory animals. The properties which make it feeble to rabbits ami virulent to swine, for instance, nmy prove different from each other. It is only by such assumption that we can understand the action of swine-j^lague bacteria from outbreak I and II, which, though attenuated with reference to rabbits, were fatal to swine. A very interesting communication on the subject of swine diseases in Germany was recently made by F. Peters, of Schwerin.t During the winter of 1887-88 this author examined cases of a disease among swine which strongly suggests hog cholera. The disease is described in brief as follows : Soon after the sucking period is completed, the young i)igs lose their desire for food and become emaciated. Cough, increased respiration, paleness of the mucous membranes, and diarrhea are also observed. Towards the fatal close of the disease, which lasts from 3 to 6 weeks, the skin of the ears, the neck, and chest becomes reddened. The greater number of those attacked die. In four cases, the large intestine only was affected. The description given corresponds closel.y with the vari- ous forms of necrosis, softening and induration commonly called ulcers in hog cholera for the sake of simplicity. In a fifth case, in addition to the intestinal changes, there were found recent hepatization of the left lung and exudative pleuritis. The author made some bacteriological examinations, but they were not thorough enough to furnish any reliable information concerning the character of the bacteria found. While he maintains that they are swine-plague bacteria the description he gives would equally apply, as far as it goes, to hog-cholera bacilli. As the territory of Schwerin is not very far from Denmark, the scene of swine pest (hog cholera) during 1887 and since that time, it is not improbable that this region i.s slowly being invaded by two diseases, the Schweineseuche, or swine plague, * The Americao varieties of swine-plague bacteria refuse to grow iu acid lueclia, t Pi© Scliweineseuche. Arcliiv f. Thierheilkuudo, 1890, xvi, S. 64, 132 found by Scbiitz iu 1885, and the swiiie pest, or hogcliolera, first noticed in Sweden and Denmark in 1887.* This possibility has been suggested recently by Bunzl-Federn t in an article devoted to swine-plague and closely related bacteria. The problem of infections swine diseases would then enter the phase iu which the investigations of this Bureau found it as far back as 1886 in this country, in which a mixture of two diseases is encountered more frequently than either disease by itself. In this summary some articles of minor importance have remained unnoticed. Likewise the observations of Eoloff | on caseous changes in the intestines of young pigs have been passed by because they give us no information as to the nature of the bacteria involved in the disease. The views of some that his cases were swine plague, of others that they may have been hog cholera, are purely hypothetical. * See Special Report on Hog Cholera, 1889, p. 181. t Archiv f. Hygiene, xir, 1891, S. 198. tDie Schwindsncht, fettige Degeneration, Scrophuloso unci Tuberkulose bei Schweiueu. Berlin, 1875. SOME PRACTICAL OBSERVATIONS ON THE PREVENTION OP SWINE PLAGUE. 1. CONDITIONS WHICH MAY FAVOR AND OPPOSE OUTBREAKS OF SWINE DISEASE. Tlie factors wbicli enter into tlio production of outbreaks of swine plague may be divided for convenience into two classes, those pertaining to tlie animal itself, and whicli make it more or less susceptible or insus- ceptible to the specific bacteria, and those which relate to the bacteria. The conditions which make animals more susceptible to infection are as varied as the conditions which reduce their vitality. The importance of rearing and keeping animals in such a manner as to produce and maintain a healthy action of the various functions of the body has not been insisted upon with as much emphasis as it deserves, owing to the somewhat overshadowing. intluence which the study of pathogenic bacteria has exerted upon all minds. It is evident, however, that vet- erinary hygiene has much to do with the decline of large epizootics, not only by keeping away the germs of disease, but bj' enabling the animal body to resist their attacks. Of those conditions of swine which invite disease very little is as yet positively known, and we simply call atten- tion to a few to arouse the interest of those who are in position to make observations. There have been indications during the course of experiments at the Bureau Station that the breed may have some influence in predisposing to infection. As an illustration we may cite an experiment in vaccina- tion of swine against hog cholera carried on at the Station in 1889-90.* The vaccination, which consisted in subcutaneous inoculation of culture licpiid, seems to have had no effect ; for, wlien the tinn^. for exposure came, practically all pigs from one lot succumbed and all from another lot survived. The latter were Essex grades reared in pens; the former, grades of mixed Jersey Reds and Chester Whiles not raised in pens. While it is imi)0ssible to give any facts as to the relative resistance of different breeds to swine diseases, it is a subject which should receive the due consideration of swine-breeders, especially in those States where swine diseases are more or less stationary. Age is another important element. We have found a decided differ- ence in the susceptibility to both hog cholera and swine plague in favor of older swine. This element of age is familiar to all with reference to ' Report of the Sccret:iry of Agriculture for 1890, p. 110. 133 134 certain human maladies, such as scarlet fever, measles, diphtheria, and some other diseases which preferably attack the young. Feeding- is perhaps the most important factor in predisposing swine to disease. The assimilation of large quantities of food and its con- version into fat seems to be the one essential function of swine. This goes on to such a degree as to lead to pathological conditions after a time. IvTot only the ingestion of large quantities of food, but of one kind for a long time, is in itself opposed to the habits of such omnivorous animals. Besides overfeeding upon one kind of food we have the uncleanly sur- roundings in which swine are apt to be kept contributing materially to a reduction of vitality. In addition to the unhealthfiil modes of existence to which swine are subjected, and partly springing from them, are certain pathological con- ditions induced by parasites of different kinds. The life history of some of the more important parasites infesting swine is still to be elucidated. As a rule, we have found in our post-mortem examinations a larger number and variety of internal parasites in those herds which have been allowed to run freely than in those brought up in pens. The op- portunities for infection seem to be much greater in the former case than in the latter. As to the damage done by parasites it is difficult to form an accurate estimate from ordinary observation. Obvious damage may be done in the air passages by lung worms [strongyhis paradoxus) and in the small intestine by ascaris and echinorhi/nchus. The lung worms may be met with in all seasons of the year in swine up to 3 mouths old. They invariably inhabit the terminal portion of the two large bronchi of the principal lobes. Here there is generally a partial or total occlusion of the bronchus for 1 or 2 inches from the caudal border of the lobe, due to the lung worms and the enveloping mucus. In some cases the occlusion is followed by collapse and broncho-pneumonia of the lobes supplied by the bronchus and its branches. The hepatized lung tissue assumes a bright or pale red color. When the lung worms are very abundant larger branches of the same bronchus become filled with these parasites and the broncho-pneumonia may extend over a greater l^ortion of the principal lobes. That lungs in this condition are more suscepti()le to the invasion of swine-plague bacteria will be generally admitted. The bronchitis begun where the lung worms mature may extend after a time into the other air tubes. In outbreaks YII and VIII lung worms were found in almost every animal examined. Another question arises with reference to lung worms as the possible bearers of the bacteria into the lungs. This will not be answered until more is known of the life history of these [)arasites. Meanwhile the evidence would hardly support the opinion that they may introduce the virus. The i)ueumonia usually begins in the small ventral lobes and travels from them while the lung worms begin their injurious work in the j)rincipal lobes farthest removed from the ventral lobes. All that 135 can be said is tliat they may make the lungs more susceptible to the disease. In the intestines ascarides are not infrequently found extending- into the common bile duct from the duodenum. Some even enter the gall- bladder, while others imbed themselves iu the ducts coming from the various lobes of the liver and completely obstruct the flow of bile. The echhiorhynchus is well known as attaching itself to the mucous mem- brane of the small intestine, and producing ulcerous depressions simu- lating those of hog cholera. That there may be other predisposing causes at certain seasons of the year, such as obscure malarial diseases due to protozoa, the inva- sion of the muscular system by psorospermia, trichina', etc., ueed simply to be mentioned, since no positive evidence is at hand. The important factor in the production of swine plague (and hog cholera as well) bearing on the bacteria is their virulence. VVe have seen in the chapter on the pathogenic action of swine-plague bacteria that their virulence or disease-producing power is subject to consider- able variation, and that they may be very virulent as obtained from one outbreak and much less so from another. It may be laid down as a general rule that the more virulent the bacteria the more severe the resulting epizootic, and the greater the mortality. While a more attenu- ated variety of bacteria may spare the older and more hardy animals of a herd, these will succumb to a more virulent variety. Just here the facts presented under the preceding head show their importance. Attenuated or weaker varieties of swine plague ma^^ attack the young and the badly kept swine, those infested with parasites and those of poorer breeds, while the stronger may not become diseased. This may explain also why some herds of swine are destroyed and neighboring ones escape, although both may have had the same opportunities of infection. The appearance of an epizootic depends thus upon the condition of the herd and the relative virulence of the bacteria. While there are bacteria whose virulence is sufficient to sweep away every obstacle, we are convinced also that much disease due to attenuated bacteria could be counteracted by a more hygienic breeding and rearing of swine. 2. THE DISTRIBUTION AND TRANSMISSION OF SWINE-rLA(;UE BAC- TERIA. We have seen in preceding pages that besides the particular herd in which swine plague exists as an epizor>tic, bacteria not distinguishable from those of swine plague are found widely distributed in the air pas- sages of healthy swine, and of other domesticated animals, such as cattle, dogs, and cats. Are these bacteria capable of producing disease in swine at any time and therefore a continual source of danger, or are they harmless ? This question can not be answered definitely in the present state of knowledge on this subject. As a rule, the bacteria 136 found in liealthy animals belong to more or less attenuated varieties and are most likely incapable of producing disease excepting when the con- dition of the animals is very poor. Sporadic disease in such debilitated animals is not contagious and does not spread to other animals of the herd unless all are in equally reduced condition. It may happen, how- ever, that such swine plague bacteria, which live in the air passages of older swine as survivals of former exposure and disease, may become dangerous to young pigs. Of this possibility outbreak VIII may serve as an illustration. The litter of young pigs died of swine plague caused by a considerably attenuated variety of bacteria, such as may be found in apparently healthy swine of greater age. It should also be remembered that even older swine, which have been through the fattening process and are, commercially speaking, in the best condition, are really in an abnormal or a pathological state, and, therefore, may be more or less susceptible to infection. We have shown that there are herds of swine from certain farms en- tirely free from pathogenic bacteria, and the question arises. What is the source of those swine plague-like bacteria found in the upper air pas- sages of many herds? I am inclined to think that they are transmitted from older swine to younger ones, producing disease only under aggra- vated conditions in isolated cases, which disease does not spread to other animals. When we come to the more virulent varieties, those for example, which destroy rabbits within 16 hours after inoculation, the case is entirely different. Their presence is probably never manifested ex- cepting by disease, and it is against the introduction of these bacteria that the swine-breeder must protect himself. Such bacteria always come from some outbreak of disease directly or indirectly. Let us con- sider brieHy through what agencies such bacteria may be introduced into a herd. In the report on hog cholera and in the present volume it was pointed out that swine-plague bacteria are far less hardy than hog- cholera bacilli.* The former perish rapidly in water and in liquids unsuited to their multiplication. They survive drying for a few days only. In gen- eral, they speedilj^ disappear after they have left the body of diseased swine, and it is highly doubtful whether they would survive a month in the soil or in pens. Such agencies as streams, manure, etc., which maj^ distribute hog-cholera bacilli over considerable distances are of re- stricted importance in swine plague. The chief danger lies in contact with diseased or infected swine. Intermediate carriers of infection can only act for a short time, while swine may harbor disease germs for months in localized inflammations, such as abscesses under the skin and in the joints, and it is possible that they may vegetate on the mucous membranes of the air passages much longer. * See table, p. 92. 137 Swine miLst thus be regarded as the chief voliiclc of infection. This may be conveyed directly from diseased to iiealthy animals; it may bo conveyed by those Miiich have passed through the disease, and hence by older to younger swine. It is safe to assume that any swine which have at any time been exposed to swine plague (or hog cholera) are liable to convey the disease, because we do not know when the specific disease germs leave the body. Other sources of danger are railroads leaving fresh manure in differ- ent places, tlie vicinity of slaughter-houses, rendering establishments, or any places where the viscera of swine may be scattered or where numbers of living swine are temporarily housed. If we bear in mind the wide distribution of infectious swine diseases it is easy to believe that in any large herd of swine collected from different localities there are always some diseased or infected. It is essential, therefore, in guarding against disease, to look with suspicion upon all swine the history of which is not known to some extent at least. There is a practice current in some parts of the country, and well illustrated by the history of outbreak IX, of gathering together herds of young pigs from various localities through the intervention of deal- ers. In regions where swine diseases are prevalent much of the time, and where the virus never dies out, this is a specially dangerous practice. While swine may not be visibly diseased, or may simply appear some- what unthrifty, they still may carry the seeds of a virulent outbreak within them which need a little time to gain the required momentum. The mild character of a disease in anyone animal is no evidence of the character of the germ. For this mildness may be due to a very viru- lent germ acting upon a highly insusceptible animal and causing a more prolonged chronic disease. In fact, these partly insusceptible ani- mals are the most likely to appear in the markets because they are the remnants of herds destroyed by disease. We have frequently been able to demonstrate by exi)erimental inoculations the general accuracy of these statements. Thus bacteria obtained from inoculated cases which had assumed a more chronic course had not lost any of their virulence. In ex[)eriments bearing on Aaccination we have been able to increase the insusceptibility of rabbits aud guinea-pigs so that virulent bacteria l)roduced only a mild form of the disease, i)rolouged from days to weeks and even months. Yet the bacteria cultivated from such cases and in jected into animals not vaccinated showed no loss of virulence. Again, we have found swine-plague bacteria in apparently healthy swine inocu- lated two months previously, and in case of hog cholera we have found the bacilli in the organs of swine G to 7 months after api)arently un- successful inoculations. These bacteria possessed the original viru- lence. The question has frequently arisen in the course of these investiga- tions whether the bacteria are ever introduced into herds in the food. This involves another question, whether hog-cholera or swine-plague 138 bacteria do exist indepeudeutly of diseased or healthy animals. As to both kinds of disease germs there is no evidence that they live outside of the animal organism, except temporarily, and that if the food happens to be infected the infection has come from animals directly or indirectly, and that it is simply a question of time whether such infection is still in a living condition or not. Food, however, may be infected with other pathogenic bacteria which may become dangerous in producing second- ary and i)erhaps fatal lesions in animals already diseased. This applies more directly to the swill food which is used by many in the vicinity of large cities and which is composed of such miscellaneous material partly in a condition of fermentation and decomposition that the presence of disease germs may be considered probable at any time. In outbreak IX, in which swill food was mainly used, the bacilli of malignant a?dema were obtained from some cases and very likely added to the fatality of the outbreak. 3. THE RELATION OF HOG CHOLERA TO SWINE PLAGUE.* Throughout this report frequent reference has been made to hog cholera because many outbreaks studied during the past five or six years were mixtures of both diseases, and it is therefore difQcult to sep- arate them in order to estimate correctly the damage done by each. We have encountered a small number of outbreaks, of which some were due to hog cholera, others to swine plague, but the majority were the result of a mixed infection. The outbreaks of hog cholera not complicated with swine plague were generally of a virulent type. When both diseases showed themselves, _ neither was, as a rule, of any great virulence. To explain the frequent intermingling of these diseases we must refer to the bacteriological re- sults of the past few years. Besides the virulent varieties of hog-chol- era bacilli, which produce a characteristic fatal disease in rabbits after subcutaneous inoculation of exceedingly minute doses, we have encoun- tered about half a dozen varieties whose virulence was much diminished. The diminishing pathogenic power is shown by the absence of a fatal disease after subcutaneous inoculation of rabbits, and even small quan- tities of culture liquid injected into the circulation may produce only a mild disease. In onet there seemed to be no virulence left, and it becomes questionable whether such bacilli can be regarded as hog- cholera bacilli at all. The attenuated bacilli have likewise very little or no effect on swine. Parallel to this diminishing scale of virulence of hog-cholera bacilli, we have a similar scale among swine-plague bacteria repeatedlj^ set forth in the preceding pages. On the one hand, some varieties will destroy rabbits within 10 hours after inoculation of the minutest trace of culture material into the skin ; on the other there are varieties whichbarely destroy rabbits after large doses have been injected directly * See also pp. 102-108. t Bacillus y, outbreak IX, p. 78. 139 into the circulating blood. All of these varieties have been obtained from the internal organs of diseased swine, and hence even the very at- tenuated ones may have had some share in the disease. If we picture to ourselves a wide distribution of these several varie- ties of hog-cholera and swine-plague bacteria in the bodies of diseased and of partly recovered swine, and, in case of swine-plague varieties, in the air passages of healthy animals, it is not difficult to understand why there are so many mixed outbreaks. The practice already alluded to, of purchasing pigs from many herds and localities and bringing tliem together to be fattened as one herd, is the most successful method of bringing various grades of pathogenic bacteria together and of pro- ducing a mingling of two diseases. These mixed outbreaks may de- velop in other ways also. The disease may begin as hog cholera and become subsequently complicated Mitli swine plague or the reverse may be true ; the disease may begin as swine plague, and become com- l)licated with hog cholera. In either case the most virulent variety will i)robably start the disease, and anj' attenuated hog-cholera or swine- ])higue bacteria, which are latent in some of the animals of the herd, or have not yet been killed out of the soil, aud the surroundings from a former outbreak may start into activity and thus produce a more fatal mixed disease. It is evident that such secondary attacks of atten- uated bacteria would not take place if the animals had not been weak- ened by the primary disease. This may be the only way in which the great majority of the swine-plague bacteria in the air passages of healthy animals can exert any i)athogenic effect whatever. It is like- wise difficult to understand how attenuated hog-cholera bacilli can act without assistance from swine plague. These statements may be illus- trated by referring to the investigations. Thus in outbreak IV the dis- ease was evidently swine plague at first, and complicated with hog- cholera later. For the hog-cholera bacilli were only observed in the later cases. It should Ukewise be borne in mind that in swine plague some cases are usually of a more chronic type. The disease lasts some time and is associated with caseous changes in the lungs. Any hog-cholera bacilli have thus abundant opportunity to enter the weakened organism and appear after death in cultures from the internal organs. For the same reason hog-cholera outbreaks characterized by very feeble pathogenic activity of the hogcholera bacilli, and hence of a more prolonged dura- tion and chronic character, are usually complicated with swine plague, because the latter, even though of a feeble activity, has been able to in- vade the weakened organism and has had time to do so. In virulent outbreaks of either disease death may ensue so rapidly that no invasion of the other disease takes place. These statements presuppose, of course, that both kinds of bacteria exist in the surrouiulings of the herd. The appearance of mixed outbreaks due to bacteria brought b}' dif- ferent herds is suggested by outbreak VII. Even after a very thorough examination of Xos. 1 and 2 no hog-cholera bacilli could be found. In the subsequent cases in which they were present, they were readily de- 140 tectcd 111 the various organs examined. Moreover there was quite a ditfereuce observable in the lesions of the various cases eorresnondiu.- aiore or less closely to the nature of the bacteria found. The supposi^ tion already presented in regard to this outbreak was that the ho-chol- era bacilli were either present in the locality, into which the pigs were brought or were carried by some oue or more pigs in the herd Hog cholera aud swine plague thus mutually assist one another to produce those feebly infectious, chronic diseases which are common at all seasons of the year, and it is not unreasonable to suppose that from such apparently insignificant diseases large epizootics are developed which by a gradual return of virulence in the bacteria, and under sli o-ht provocations of forced feeding, cold, or other debilitating intiuen^.es on the part of their victims, burst forth at certain seasons^of the year with unexpected violence.* This condition of things refers more particularly to localities where swme-raising has been conducted on a large scale, where these dis- eases never actually die out, and where consequently the specific bacteria are always on hand. In those regions which are being invaded by tuese^plagues anew the latter may smolder for several years by reason of the introduction of attenuated varieties before they break out as genuine epizootics. ' There are no facts at hand to indicate any difference in the distribu- tion of these two plagues. The localities where either one or both plagues have been determined by bacteriological investigations may be tabulated as follows: * may Locality. Character of plague. By the Bureau of Animal Industrv DiHtiifl nf rv.1„.v.i.;.. !' _ Mar3'lau(], various outbreaks 1885-'90 Jiog ctiolora. Virginia, various outbreaks 1885-'90 --.Uo Nebraska, 188G --"o Illinois (Geneseo), July, 1886 .". | ■ - . . do nimois (Soilorus), September, issh'.'.'.'.'.'." " Iowa, December, 1886 Iowa (Mason City), November, 1888' ^ew Jersey (Jolinsonbiiifih). October 1887 -New Jersey (I'leasantvillo). Julv 1890 Missouri (Cliillicotlie), 1890-'91 -' Nebraska (188G-'88), by EiUings.. Maryland (Baltimore), by Welch and Clement* bouth Carolina, by Bolton Illinois, byl3urrill Massachusetts (near Boston)Vb'y il." A.' Jeffries! Hog cholera. *(?) t(?) Hog cholera. ..do .- do ...do Swiue plague. Do. Do. Swine plague. Do. Do. Do. Swine plague. Do. o • *■' bwine plague. Swine plague. I Do. Ivtr'T '"f '"''"" t *'^i^'-««'-"'i^«cence of apparently enfeebled virus is outbr^ I^ re erred to above During February and March swine plague fron. a neighborL: farm became nnngled with hog cholera in an infected pen on the Station in which thrs slight seventy so far as hog cholera lesions were concerned. Gradually towards spnug, anunals placed in this pen died rapidly of hon.orrhagic hog cholera The! was no evidence of the introduction of another bacillus, nor were any^hangrdete "ed as regards the bacteria in cultures or in tlie inoculated rabbits 141 4. THE RELATION OF SWINK PEAGUl-: TO DISEASES OF OT?FER DOMES- TICATED ANIMALS. The question whether the diflereiit species of tloinestieated animals on a farm may take from or transmit to swine the disease which we liave been considering^ is of very great importance in view of the chanj?- iiii;- ctuiditions of live-stock interests which are i;oin!jf on in different directions in varions parts of onr country. The problem may be stated as follows : Has the bringing together of different species of animals for the purposes of feeding, etc., on the same ground, a tendency to increase disease in one or the other species ? Will swine take swine plague from cattle and will tiiey transmit it to sheei) and horses, for exami)le, or is the reverse ever observed ? Investigations and observations during the past b'i years lend some color to such possibilities, and it becomes necessary at least to call at- tention to those engaged in raising and keeping farm animals to what has been determined in this direction, and to arouse their interest in the investigation of outbreaks of swine i)lague, especially as regards the immediate causes. In the summer of 3878 there appeared in three royal game preserves, in the vicinitv of Munich in Bavaria, a very fatal epizootic among the wild boars and deer, of which 234 boars and 153 deer perished.* It w^asalso noticed that even after the plague in the parks had apparently' died out, disease among cattle in the neighborhood appeared, and this, according to the observations of veterinarians, was identical with the disease observed among the game in the parks. The disease was very acute, lasting from 12 to 30 hours in the major- ity of cases. In those in which pneumonia and pleuritis were present the disease may have lasted 5 or days. The chief lesions among the latter were croupous pneumonia, pleuritis, pericarditis, and mediastinitis. In cattle the disease appeared in two forms. In one a swelling was observed on the head, the face, the neck, or in the tongue, which as- sumed enormous proportions inG to 12 hours and led to suftbcation. The swelling was due to serous or serous and hemorrhagic infiltration. In the other form, in addition to the pneumonia, pleuritis, and pericarditis observed in the game, there was always present a severe hemorrhagic inflammation of the small intestine. Bollinger called these forms exan. thematic and pectoral, respectively. At this time bacteriological meth- ods were still undeveloped, and nothing is known of the nature of the bacteria causing this outbreak save the fact that they were not anthrax bacilli. A number of inoculations were made upon various animals, which testify- to the extreme virulence of the specific bacteria. Rabbits died 6 to 8 hours, sheep and goats 30 to 36 hours after inocu- lation. Two old horses died after subcutaneous inoculation with blood from cattle in a very short time. A young steer, li years old, was fed • Bollinger. Uber eiue neue Wild- unci Riaderseache. Miinchen, 1878. 142 with a tbimbleful of the intestinal contents of a calf which had suc- cumbed to an enormous swelling-. The steer died in 54 hours with pneumonia and i)leuritis. A pig inoculated subcutaneously over the left shoulder with a few drops of blood died in 22 hours. Besides an extensive erysipelatous swelling- starting from the point of inoculation there was beginning fibrinous pleuritis. The disease reappeared in the following years, either sporadically or in restricted outbreaks. In 1879 and 1880 it was observed among domesticated animals alone ; in 1881 among the animals in the game preserves. In 1885 Kitt* published some investigations which were destined to throw more light upon this new plague. With blood from an outbreak among cattle resembling the epizootic described by Bollin- ger, Kitt made some inoculations upon small animals. Of mice, rab- bits, guinea-pigs, and one pigeon inoculated, the mice and rabbits died within 24 to 36 hours, the pigeon in 36 hours. The guinea-pigs were not afiected. Lesions were in general absent. The blood contained large numbers of bacteria. Subsequently the spleeus of an ox, a young pig (of which eight had died), and a horse which had succumbed in the same locality, showed on microscopic examination the same bacteria, whose virulence tested on rabbits was likewise the same. In a cow in- oculated subcutaneously over the left shoulder an extensive inflamma- tory cedema of the inoculated shoulder appeared, which extended over the entire left limb. The swelling later became converted into an abscess, but the animal did not die. Of special interest is the subcutaneous inoculation of a pig with a minimum quantity of mouse's blood. From the place of inoculation on the right thigh a bluish discoloration of the skin spread over the whole body in spots and patches, while there was considerable swelling at the place of inoculation. The pig was dead in 24 hours. The autopsj' re- vealed, in addition to the lesions mentioned, exudative pleuritis and peritonitis, congestion of the mucous membrane of the upper air pas- sages and of the stomach. A goat inoculated subcutaneously in the same manner was afflicted with extensive local inflammatory oedema and died within 2 days. A horse inoculated subcutaneously in the neck with a suspension from an agar culture, derived originally^ from the mouse, died within 1^ days with extensive local reaction, fluid blood, ecchymoses on heart, pleuritis and pericarditis, and beginning inflam- mation of the mucosa of the stomach. The bacteria found by Kitt have a marked resemblance to swine- Xdague bacteria, and their pathogenic effect on pigs and smaller animals is identical with that of very virulent swine-plague bacteria. Kitt states that they grew upon boiled potato as grayish-yellow colonies, whereas swine-plague bacteria do not produce any visible growth. An * Ueber eine experimentelle, der Rinderseuche (Bollinger) ahnliche Infectionskrank- heit. Sitzungsbericbte der Gesellscbaft f, Morphologie und Phyeiologie in Mi^nchen, J^ 1885, S. X40-1G8. 143 exam i nation of the text leads us, however, to believe that he inoeulated potatoes directly with blood. Those who have made many cultures of these bacteria have undoubtedly realized how very richly cultures have gTowu to which a little blood was transferred from the auimal under examiuation. Hence the potato growths were likely due to the presence of blood. The further statement that, after an examination of Kitt's cultures, Schiitz considered these bacteriai different from those of Schwemeseuche (swine plague) because the latter did not kill pigeons is worth nothing, because the diftereuce is simply a matter of virulence. The great difference among swine-plague bacteria themselves as regards this very point we have repeatedly pointed out. A disease probably identical with the foregoing was described by Oreste and Armanui,* as occurring among herds of young buffaloes in Italy. The disease appears very suddenly, and the animals attacked may die in from 12 to 24 hours. The symptoms are high temperature, rapid and feeble pnlse, discharge of mucus from nose and mouth, asso ciated with a local swelling on the head and face which leads to suflb- cation. The lesions observed after death are few and inconstant, a hemorrhagic indammation of the small intestine being frequeiitly ob- served. The specific bacteria seem to be identical morphologically with swine-plague bacteria. The disease can be reproduced in young buffa- loes by inoculation of cultures. It was similarly produced in a colt, a cow, a sheep, and in mice, rabbits, guinea-pigs, pigeons, and fowls. Death ensued in all animals in from 1 to 3 days. Of two young pigs inoculated one died, the other survived. In France, Galtiert has found pneu mo-enteritis of swine associated \vith a similiar disease in sheep which came in contact with them. While there is much in favor of his assumption that the infection passed from the swine to the sheep, the description of the specific bacteria and of the methods of inoculation are not sufficiently complete and thorough to bring conviction as to the transmission, or furnish any definite in- formation concernin g the nature of the bacteria found. A few sugges- tions thrown out here and there are sufficient, 1 think, to permit us to exclude hog-cholera bacilli and regard them as belonging to the group under consideration. These various investigations are of great importance in showing that some infectious diseases may either attack several species of domesti- cated animals at the same time, or be inoculable from one species to another. What is of special significance in the first two investigations is the extreme virulence of the bacteria. The same may be said of the Italian buffalo disease. There is another class of infectious diseases, due to bacteria of the * Atti del E. iBtituto d' incoraggiamento alle scienze natural!, etc., 1887. For a brief account, see also Journal de Mddecine V^t^rinaire, 1887, p, 585, and Banuiga^'^ teu's Jaliresbericht for 1887, S. 124. t Journal de MfSd. Y6t., 1889, passim, 144 same group, which produce specific diseases amoug certain species ot domesticated animals, but which diseases are not known to be com- municable to other species. Among these are fowl cholera, rabbit septi- caemia, and a peculiar form of pleuropneumonia in cattle, which Poels has called " septic pleuropneumonia." During the past 3 or 4 years, the writer has examined in the laboratory of the Bureau of Animal In- dustry a small number of lungs from cattle affected with pneumonia from which bacteria practically identical with swine-plague bacteria were isolated. A description and discussion of these forms of pneu- monia in cattle will be reserved for a future report. There is thus a wide distribution of diseases among domesticated animals due to a group of bacteria closely resembling and probably identical with swine-plague bacteria. Some diseases attack several species at the same time ; others are, so far as we know, restricted to one species. We have also seen that there is a wide distribution of attenu- ated varieties among the same domesticated animals in the healthy state, inhabiting, so far as our investigations have gone, the upper air passages. Some observers are inclined to regard these different bac- teria as practically the same. Hiippe has proposed the name scpticfcmia hccmorrhagica for all the forms of disease caused by them. Other ob- servers hesitate to accept at present this unifying explanation. For practical purposes the following explanation, based on quite extended study of this group of bacteria, may serve as a provisional guide in the prevention of disease. The real test of the power of any bacteria to produce disease is viru- lence. The greater the virulence the more liable will be the disease to spread from one species to another. This is strikingly illustrated by the Wildseuche of Bollinger. The relative virulence can be accuratel^^ determined only by careful series of inoculations upon small and large experimental animals, performed in precisely the same way hi each case with pure cultures of the bacteria. Again, the power of a given disease to i>ass from one species to another frequently remains unnoticed, partly because the opportunity for such transmission is rarely given. Animals of different species, such as swine, cattle, and sheep, are rarely raised and kept in the same inclosures, because the nature of food required for each, and other conditions lead to specialization in stock-raising and tend to restrict each species to its own pasture ground. It is not unreasonable to suppose that bacteria living in the air pas- sages of one species, and harmless to it to a certain degree, may prove to be disease germs with reference to another species. Thus the attenu- ated bacteria living in the air passages of healthy cats, dogs, pigs, and cattle, are all fatal to rabbits. In general, the larger and more powerful the animals the less effect disease gertns have upon them. It is there- fore probable that some of the outbreaks of swine disease in the West- ern States may be due to the cattle with which the swine are herded for feeding purposes. The bacteria in cattle, harmless to them, or per- 145 haps causing only mild disease and rarely observed, may prove the start- iiij;- point of disease tor swine. Wliih^ we have no [)()sitive demonstration of these statements, it is desirable that those engaged in stoclc-raising should have their att«Mi- tion called to the possibilities embodied therein. 5. ON MEASURES TO 15E TAKEN IN THE PREVENTION OK SWINE PEACaiE. In regard to the general measures to be taken and the rules to be observed in the prevention of hog cholera and swine {)lague, we refer the reader to the report of the Secretary of Agriculture for L88.S, page 15G, or the report of the Bureau of Animal Industry for 1887-88, page 148, or the Special lieport on Hog Cholera, 1889, page 123. The rules and directions there formulated are adapted as well to swine i)lague, for the bacteria of the latter disease are even more easily destroyed by vari- ous agencies than are hog-cholera bacilli. In the following pages only the most important i)oints are touched upon. Tiie things with which healthy swiue should not come in contact are, in the order of their importance, first of all, diseased herds and ani- mals, strange swine the history of which is not known, offal from estab- lishments using carcasses of swiue, recently infected ground, railroads carrying swine, and polluted streams. Soil and water nuiy be infected by living and dead swine or any olTal from them. When the disease has actually appeared in a herd the question gen- erally arises whether it is worth while to make any attempts to save a l)ortion of the herd or to leave them to their fate. As a rule it may be stated that it is best to slaughter both healthy and diseased at once and give the surroundings sufficient time to rid themselves of the infection before fresh animals are brought into them. If this be not desirable we should recommend the following measures to be rigorously carried out: {(() Itemoval of still healthy animals to uninfected grounds or pens as (piickly as possible. (h) Destruction of all diseased animals. (c) Careful burial or burning of carcasses. {d) Repeated thorough disinfection of the infected premises. {e) Great cleanliness both as to surroundings and as regards the food. If the animals have been removed to uninfected grounds, careful watching is necessary to remove therefrom at once all swiue which show signs of disease. Among the various disinfectants which can be recommended are the following: 1. Slaked lime, in the proportion of about 5 per cent (one-half pound of lime to a gallon of water). 2. Equal volumes of crude carbolic acid and ordinary sul])huric acid mixed together and added to water in the proportion of 2 ounces to a, gallon of water (1^ volume per cent). 1G14— .— "10 146 3. Siilpliuric acid added to water iu the proportion of 1 ounce to a gallon. 4. Boiling water. 5. Corrosive sublimate (mercuric chloride) in the i^roportion of 1 drachm to a gallon of water (1 to 1,UU0). Solution No. 2 is said to be more active if, while the sulphuric acid is beiug added to the crude carbolic acid, the vessel containing the latter is i)laced in cold water to prevent undue heating of the liquid. It should be borne in mind that sulphuric acid and corrosive subli- mate attack metals, and that the solutions are best made in wooden pails, etc. Corrosiv^e sublimate is also highly poisonous, and the solu- tion should not be made stronger than indicated. The lime is, on the whole, the best and chea])est, but it may not be desirable to ijse it every- Avhere; hence, one of the others may be substituted. Each of the sohi- tions recommended is more than strong enough to kill both hog-cholera and swine-plague bacteria and they need not be increased in strength. When swine have become infected while ruuningover tracts of ground, disinfection of such tracts may be regarded as practically inipossible. If, however, they have been brought up in pens or in small inclosures, disinfection should be thoroughly carried out. The woodwork of pens may be disinfected by exposing all portions, cracks and corners, to the action of any of the solutions mentioned. These may be applied with a broom or any other household article which insures uniform wetting. Whitewash is useful for woodwork of fences, etc., when there is no ob- jection to its appearance. Its action is only exerted at the time of application and after it has dried it will not destroy bacteria subse- quently adhering to it. It must, therefore, be applied fresh every time disinfection is needed. For large farms some kind of spraying appa- ratus would be of great service in insuring uniform distribution of the disinfectant. In the selection care must be exercised, however, owing to the corrosive action of some of the solutions. The disinfection of the surface of the soil over small areas is perhaps best accomplished by the slaked lime or the crude carbolic-acid solution. It should bo remem- bered that both preparations may be irritating to the feet of animals immediately after they have been applied. The feeding troughs should receive special attention, and after the application of the disinfectant this should be washed away with water, j)referably hot or boiling. The directions thus far given apply mainly to the prevention of dis- ease. When animals have been actually attacked, can anything be done for them ? It has already been stated that treatment of commu- nicable diseases is not a desirable thing, but even if it were the deaths follow each other so rapidly in many outbreaks that there is no time for the application of remedies. If, however, an effort to treat them is to be made, it is desirable to avoid the various specifics and remedies of unknown composition, some of which, thoroughly tested at the Bureau Station by Dr. F. L. Kilborne, were of no avail in checking the disease. 147 Tlie sick anin-als should be isolated one from another, as far as possi- ble confined in small inclosures, kept (piiet, and fed with moderate quantities of food, preferably with millc, if this is to be obtained. If the swine are bein*? fattened when the disease appears, this process should be stopped at once and a light diet substituted. Tiie tendency towards the localization of disease in the large intestine, in both swine l)lague and hog cholera, seems to be due, at least in part, to the con- stipated habits of the pig, which permit the pathogenic bacteria to re- main long enough in the intestine to act injuriously upon the mucous membrane. Constipation is not easily overcome, as the trials with vari- ous cathartics* have demonstrated, and it is highly important when the disease has appeared to feed a greater variety in small quantity or to follow the recomiriendatiou of giving the digestive organs a complete rest by feeding milk. The boiling of food may be desirable, inasmuch as it destroys any disease-producing bacteria which may be present, and makes digestion easier. An experiment carried out at the Bureau Station with boiled food did not show any more favorable results, how- ever, than with unboiled food ordinarily given, so that we can simply suggest it for further trial. Even if treatment should succeed after much trouble ami expense to save some few swine, it may not be profitable, owing to the injury in- flicted on the various organs during the disease. The lungs are, as a rule, seriously affected. They may become adherent to the walls of the thorax, and the pericardium may become firmly attached to the heart and impede its action. These permanent injuries, which no kind of treatment yet suggested can avoid, exercise an injurious influence on the proper development of the animal affected and make its raising of questionable advantage. It has already' been stated that such recov- ered animals may for a time at least be dangerous as carriers of the dis- ease germs to other swine. The only encouraging line of action, therefore, lies in the prevention of disease by the observance of suitable precautionary measures and in that general practice of hygienic laws which thus far has been the only means of checking the rapid spread of epidemics in the human family. The method first suggested by Pasteur of inoculating animals with attenuated cultures, to make them resist any and every attack of a given infectious disease, is, theoretically considered, the simplest means of prevention. Practically, however, there are two objections wliich are growing in importance year by year, as our knowledge of infectious diseases is becoming broader and deeper. The method of Pasteur may distribute the specific bacteria far and wide and become a source of future evil, since we do not know but that the attenuated bacteria may in some way regain their former virulence. The other objection rests on the fact that diseases differ so much one from the other that the method seems to insure success in only a few diseases. * Special Report on Hog Cholera, 1889, p. 135. 148 As regards swine plague, the experiments which have thus far been carried out indicate that this disease may prove amenable to pre- ventive inoculation. We have been able, by the injection of both living cultures and those sterilized at a low temperature (580 (i.)^ to make the most susceptible animals, rabbits, insusceptible to the most virulent swine-plague bacteria. By two subcutaneous injections of cultures of swine-plague bacteria swine have been made insusceptible to doses in- jected into the circulation, which proved fatal to "control" pigs within 24 hours. In the preliminary experiments upon rabbits, designed to produce immunity, several methods were employed.* 1. Minute but gradually increasing quantities of culture liquid of very attenuated swine-plague bacteria were injected at different intervals into the ear vein of rabbits. Only a very small proportion of these sur- vived the test inoculation with very virulent swine-plague bacteria. 2. Sterilized bouillon cultures were injected into the abdomen and into the circulation of rabbits. This method also produced immunity and partial resistance, but iu only a comparatively few animals. 3. The preceding method was modified in the following manner : Swine-plague bacteria from outbreak IX were allowed to produce for 2 days a rich growth upon agar. This growth was scraped off and a very turbid suspension in bouillon prepared and sterilized at 58° 0. With this sterilized suspension injections were made into the abdomen of rabbits as follows: Eabbit No. May 4. May 8. May 14. May 22. Total. Keiuavks. 35 cc. 1.5 1 .5 cc. 1 . 5 1.5 2 cc. 2 2 2 2 cc. 3 3 cc. ,.5( 7.5^ 7.5 4.5 Kos. 35, 36, and 37 inoculateil with viriileut swine plasue May 2fi. Check dies over nijrht. All three 36 37 38 action, liiooulated with virulentswine plague May 19, die.s iu 6 day.s with severe local reaction, iilenritis, and peri- carditis. The check dies iu 16 to 20 hours. These results show very decisively the protective effect of the steril- ized growth of swine-plague bacteria. Additional experiments have not yet been made. In conjunction with Dr. Kilborue, the protective effect of swine-plague cultures was tested upon swine in the following experiment : Seven pigs belonging to the same lot and about 4 months old were chosen, three of which were set aside as " control" animals or checks. The remain- ing four received February 28, 1891, a subcutaneous injection of cubic centimetres of peptone-bouillon culture of virulent swine-plague bac- teria (outbreak IX), one-half into each thigh. As a result one died.t The remaining three were reinoculated in the same way March 14, * These oxperinieuts wore carried out in coujuiiction ^vitl^ Dr. V. A. Moore. t See p. 74 for autopsy notes. 149 receivin;^- on this date 10 cuhic centimetres of enlture liquid. April 3, these, to^etlier with the three control animals or cheeks, received the linal test inoculation; 2 cubic centimetres of peplone-bouilhni culture of the same bacteria were injected into a vein of the leg of each animal. Two of the control animals died within 24 hours, the third in 30 hours. None of the three vaccinated animals became ill. No symptoms of dis- ease or lesions appeared subse(|uently. These experiments simply demonstrate the fact that swine may be protected from fatal doses by subcutaneous injection. Whether this process would be successful in natural outbreaks can not be inieired ■from this test. The method is oi)en to the objec^tion above mentioned, i. ('., it is liable to distribute the specific bacteria wherever vaccination is practiced. Since the more desirable oiu^. of inje(;ting the products of bacterial growth is now being tested there is no need of any further discussion of this subject at the present time. CONCLUSIONS. 1. There are two independent infectious diseases of swine — swine ])lague and hog cholera — each caused by an easily recognizable, specific disease germ. 2. Swine plague (in those outbreaks which have come to our notice) is limited chiefly to the lungs in its destructive effect. The intestines maybe and frequently are involved in the disease ])ro(;ess. Hence it is an infectious pneumo-enteritis rather than an infectious pneumonia. 3. There is considerable variation in the virulence or disease-produc- ing i)Ower of swine-plague bacteria from different outbreaks. The ^greater the virulence, other things being equal, the severer ami more extensive the epizootic. 4. The bacteria of ^chiceineseuche {GGrman disease of swine) are iden- tical with those of swine plague. 5. In the upper air passages of a certain percentage of health}' swine, cattle, dogs, and cats, bacteria exist which belong to the species of swine plague bacteria, and which as a rule possess a relatively feeble virulence. While it is probable that such bacteria may produce disease it may be regarded as pretty certain that it is largely aided by second- ary causes producing unthriftiness, and is merely sporadic and not communicable. 6. In many epizootics of swine disease both hog-cholera and swine- plague bacteria as well as the respective lesions of these bacteria co- exist. Such mixed diseases are due to the frequent presence of both bacteria in the surroundings of swine, probably a result of frequent in- troduction. Either disease may be primary according to its relative virulence. 7. It is highly probable that the many attenuated varieties of either disease germ can i^roduce disease only when assisted by the other germ 150 or by the iiTisanitary, nnphysiological methods of rearing swine by which the latter are reduced in vitality and uiade more susceptible. 8. It is pretty well established that there are a number of infectious diseases aftectiug cattle, bufl'aloes, deer, fowls, and smaller animals, the bacteria of which are closely related, if not identical with, those of swine plague. These plagues appear in various parts of the globe spo- radically. ( Wild- und Kinderseuche, harbone hnfaJino, fowl cholera, rab- bit septicaemia.) Their tendency to spread from one species to another, from cattle to swine, for instance, probably depends both on the degree of virulence of the bacteria as well as the opportunities afforded for such transmission. 9. Swine-plague bacteria are verj^ probably introduced into a herd only in the bodies of animals, since they are speedily destroyed in soil and water by natural agencies. Viruleni; varieties are perhaps always derived from preexisting disease. Attenuated varieties may be intro- duced by healthy animals. Since these may under special conditions give rise to disease, efforts to prevent and suppress infection must take into account the physical condition of the exposed animals. APPENDIX. PRESENCE OF SEPTIC BACTERIA, PROBABLY IDENTICAL WITH THOSE OF SWINE PLAGUE, IN THE UPPER AIR PASSAGES OF DOMESTICATED ANIMALS OTHER THAN SWINE. By Veranus a. Moore, B. S., M. D., Assintant. The examination of the secretions of the mucous membrane of the upper air passages in domesticated animals otlier than swine was be- gun under the direction of Dr. Theobald Smith for the purpose of deter- miuing whether or not the swine-plague germ, or a genu closely related to it, is normally present in these animals. The results obtained from the limited number of examinations that have been uiade from the various aniuials are of so much value in throwing light upon the natural habitat of this grouj) of micror»rganisms that a preliminary report of these experiments seemed desirable at this time. The methods that have been employed in these investigations are the same as those used by Dr. Smith iu the examination of mucus from the respiratory tract of healthy pigs, and which are described on p. 110 of this report. The inoculations of rabbits with the mucus from the various animals were made in part conjointly with Dr. F. L. Kil- borne, in part by him alone, and in a few cases I alone am responsible for these operations. 1. Tnoculations from cattle. — Rabbits have been inoculated with the mucus taken from the larynxoramygdaloid cavities of seven healthy cat- tle. Four of these were steers, two of which were Western animals that had been shijiped to Washington for beef. The four steers were killed in a slaughter-house near the Experiment Station by cutting the blood vessels in the neck. Care was taken to keep the mouth free from blood. The other three were heifers that were killed for various purposes iu a similar manner at the Experiment Station. In each case the mucus was collected immediately after the death of the animal and inoculated sub- cutaneously into rabbits. The rabbits that were inoculated with the mucus from the four steers and one of the heifers died iu from 3 to days. The lesions found in these rabbits were similar to those produced by the attenuated swine- If)! 152 plague germ. The local infiltration contained several forms of bacteria. In tlie ])eritoneal exudate and in the spleen and liver bacteria were found that resembled the swine-plague germ both in stained cover-glass I)reparations from the tissues and in cultures. The rabbits inoculated from the two remaining animals showed no signs of disease. The pathogenic effect of the bacteria obtained from the first two cat- tle was determined by inoculating rabbits with pure cultures. The subcutaneous iuTection produced extensive purulent iufiltration at the l)oint of inoculation and exudative peritonitis, destroying the rabbit in G days. An intravenous inoculation of the same quantity of a similar culture from the second case proved fatal in 24 hours. The blood, liver, and spleen contained innumerable bacteria which could not be distin- guished from the swine-plague germ. No inoculations were made with pure cultures from the remaining three animals. It is sufficient to say that the lesions produced in all of the rabbits inoculated from the five cases were the same. The following tables will explain the results of these inoculations : Inoculation of nibhits with mucus from the upper air passages of cattle. Ani- mal No. Mucus Iroia— Rabbit inocu- lated, No. Date of inocula- tion. Rabbit died in— Remarks. 1 2 3 4 5 C 7 A myg d a- loid cav- ities. Larynx ... Amygda- loid cav- ities. ... do ... do Larynx . . . Amygda- loid cav- ities. I 2 \ ' 5 6 I I C 10 ( 11 1890. Feb. 27 Fob. 27 Feb. 27 Feb. 2T Mar, 13 Apr. 1 Mar. 20 Oct. 2 Oct. 2 1891. Jan. 5 Jan. 5 Days. 3 4 4 4 3 4 '""4 C Local reaction; peritonitis. Do. Local reaction; peritonitis; pleuritis. Local reaction ; peritonitis ; pleuritis and pericar- ditis. Local reaction ; peritonitis. Local reaction; peritonitis; beginning pleuritis. Rabbit remained well. Local reaction ; peritonitis. Do. Rabbit remained well. Do. Inoculntions with pure cultures obtained from above rabbits. Culture from rabbit No. Method of inoculation and date. Rabbit died in- Remarks. 1 3 March 4, 1890, one-eighth cubic centimetre bouillon* culture subcutaneously. March 4, 1890, one-eighth cubic centimetre bouillon culture into ear vein. Day*. 6 1 Local reaction ; peritonitis. Septiciomia. ' All the bouillon used in these investigations contained one-fourth per cent, of peptone. 2. Inoculations from cats. — Babbits were inoculated with the secre- tions of the mucous membrane of trachea, larynx, or pharynx of seveu 153 hcaltliy cats. The cats were raised in and about Wasliinj?ton, but not, on the p].\[)eriment Station. J'hey were killed eitlier by a shot tiironj;li tlie heai't or with chh)roibnn, and the nuieus was removed with every precaution immediately after death. The rabbits that were inocnhited from cat No. G remaitu^d well. All of the others died. The residt of these inoculations is of i)articular in- terest, as the rabbits died in from 1 to 7 days, and presented hisions sim- ilar to those produced by the swine-plague germ in its most virulent as well as its attenuated forms. From tlie various organs of all the rab- bits bacteria were fouiul which could not be distinguished from each other or from the swine-plague germ. The virulence of pure cultures obtained from the rabbits inoculated trom cats 1, 2, and 3 was tested by both intravenous ami sul)cutaneous inoculations on fresh rabbits. These proved fatal in from IS to 4.8 hours. The blood and other organs contained innumerable bacteria. The cultural characters of these germs will be mentioned in another l)lace. The accom[)anying tables give a summary of these inoculations: Jiiocidation of rabhitu with mucua from lite upper air passage>i of cats. Oat No. How killed. Mucus from— Rabbit inocula- ted, No. Date of inocula- tion. Rabbit died in— Remarks. 1 2 3 4 5 6 7 Shot througb bcait. . . do [Larynx .. do ... C 12 i 13 ( 14 i \^ 1« 17 18 < 19 ) 20 ( 21 i 22 1890. Apr. 22 Apr. 22 Apr. 22 Apr. 22 Juno 11 June 11 Dec. 2G 1891. Jan. 6 Jan. C Jan. 2t Jan. 24 Days. 13 7 2 3 1 1 li Local reaction; peritoniti.s Local reaction ; peritonitis, pleuri- tis, pericardilis. Local reaction ; peritonitis. Do. Septicemia. Do. Slight local reaction, licKinnin;; per- itonitis. Rabbit remained well. Do. Local reaction; beginning plouritis. Local reaction ; pleurilis. ...do do Pharynx. do ...do Chloroformed do Larynx . . Trachea . do 3 5 Inoculations with pure cultures obtained from above rahbits. Culture from rab- bit No. Method of inoculation and date. (Rabbit died in— Remarks. 14 15 16 A nr.20, 1890, one-eighth cubic centimetre bouil- lon culture into ear vein. May 2, 13J0, loop agar culture subcutaneously in ear. May 10,1890,oneeighth cubic centimetre bouil- lon culture into ear vein. May 10, 1890, one-eighth cubic centimetre bonil- lon culture subcutaneously. ... do Hours. 20 60 18 36 18 Septicajraia. Beginning peritonitis. Septicaimia. Slight local reaction ; sep- ticaMuia. Septicemia. 3. Inoculations from dogs. — Rabbits were inoculated with the mucus taken from the larynx or u[)i)er pharynx of six healthy dogs. These were also procured in Washington City and its suburbs. They were killed by a shot through the heart. The mucus was removed imme- diately after death and at once inoculated. 154 The rabbits inoculated from dogs ^os. 2 and 3 died in about 36 hours Innumerable bacteria were found in the various organs that coukl not be distinguished from those obtained from cattle and cats or from the swine-phigue germ. The rabbits inoculated from the other four dogs re- mained well. Both subcutaneous and intravenous inoculations of fresh rabbits with cultures of these bacteria proved that they were as viru- lent as those from several of the cats. The results of these inoculations are summarized in the appended tables: Inoculation of rabbits ivith mucus from the upper air passages of dogs. Dog No. Mucus from — Rabbit inocula- ted, No. Larynx . . Pharynx. Larynx . . ..-.do.... ..do.... ..do.... Date of Kabbit inocula- died tion. 1890. Apr, 25 Apr. 25 Apr. 28 May 9 May 26 May 31 29 Dec. 6 Mours. Kemarks. Rabbit remained well. Do. Local reaction, beginning pleuritis. Local reaction, penloiiitis. Rabbit remained well. Do. Do. Inoculations tvitJi pure cultures obtained from above rabb its. Culture from rabbi t No.— Method of inoculation and date. May 2,1800, loop agar culture subcntaneouslv in ear. •' May 20, 1890, one-eighth cubic centimetre bouillon culture into ear vein. May 20, 1890 one-eighth cubic centimetre bouillon culture subcutaneously. Rabbit died Hours. 22 Remarks. Sepdcremia. Do. Do. 4. Inoculations from other atiimals. ^Bahhits have been inoculated with the mucus taken from the larynx or trachea of one sheep, one horse, two old fowls, and one rabbit. One of the two rabbits inocu- ated from the sheep developed a large abscess near the point of inocu- lation. It was chloroformed after about one month. There were no other lesions. The other rabbits remained well. The inoculations from a single animal are, of course, insufficient to give any general informa- tion respecting the species. The aunexed table gives all the informa- tion necessary with reference to these inoculations. Inoculations u'ith mu(ms. Animal. How killed. Mucus from — Sheep 1 .. . Horse 1... Fowl 1.... Fowl 2.... Rabbit 1.. Cutting jugulars. Shot Neck broken do Larynx . . --.do .... Trachea . ...do .... Chloroformed do Rabbit Date of inocula- inocula- ted, No. tion. Remarks. 1890. Apr. Apr. Apr. Juno June June 1891. Apr. Local abscess; chloroformed Rabbit remained well. Do. Do. Do. Do. Do. 155 It will be seen from the experimeuts given that a jjerm which is not distinguishable from the swine-plague germ was found in the mucus from the u[)i>er air i)assages of 71 per cent, of the cattle, 85 per cent, of the cats, and 33 per cent of the dogs from which inocula- tions were made. When the rabbit lived for more than 24 hours after its inoculation there was a purulent infiltration of the skin and subcutis at the point of inoculation. The infiltration extended over an area varying in size in proportion to the length of time which the animal lived. In some cases it covered the entire ventral aspect of the body. Occasionally there was in addition a sanguinolent effusion which ex- tended beyond the limits of the infiltration. The local reaction was undoubtedly increased by the presence of other bacteria that were in- troduced with the mucus. The internal lesions were characterized by an inflammatory condition produced by the localization of the germs on some one or more of the serous membranes, notably the peritoneum, when the rabbit did not die from a rapidly fatal septic;emia. It is interesting to note that the inoculations made from cattle proved fatal in from 3 to G days, and that the resulting lesions in every instance were characteristic of attenuated swine plague. In the rabbit that lived G days there was severe peritonitis, while in three that lived only 4 daj's there were both peritonitis and pleuritis and in one case i)eri- carditis. The rabbit which lived G days after inoculation with a pure culture exhibited in addition to the local reaction only peritonitis. In the inoculations from cats we find a much wider range in the char- acter of the lesions produced. The rabbits inoculated from cats Nos. 3 and 4 were victims of a rapidly fatal septicu'inia, the swine-plague bac- teria being distributed in enormous numbers throughout the blood and internal organs. The rabbit inoculated from cat No. 5 lived about 12 hours longer and exhibited beginning peritonitis. The localization of these germs on the peritoneum is further illustrated in rabbits Nos. 12, 14, and 15. These animals lived 2 and 3 days and died with exudativ^e peritonitis. In the exudate there were innumerable bacteria, but com- l)aratively few were found in the blood. In rabbit 13 we have a marked example of the distribution of these germs over the entire serous sur- faces of the trunk. Both rabbits from cat No. 7 are interesting, as the lesions were confined to the pleura. In these cases the pleuritic exu- date contained innumerable swine-plague bacteria while the blood con- tained only a few. This emphasizes the fact that in cases of well- marked localization there are comparatively few germs in the general (;irculation at the time of death. The rabbits that were inoculated from dogs Nos. 2 and 3 lived the same length of time as the rabbit inoculated from cat No. 5. It is in- teresting to note that the rabbit inoculated from No. 2 exhibited pleu- ritis and the one from dog No. 3 peritonitis. Here again we have a marked illustration of the variable localization of this group of micro- organisms when their virulence is not sufficient to destroy the rabbit 156 in fi-om 18 to 24 hours. The tendency to localization is well shown in the following suni.nary of the lesions found in the nineteen rabbits that Have succumbed to the inoculations from the different auimals: Sum7)\jary. Lesions. Local reaction, pin-itonitis Local reactioi), iileuritis "' Local reaction, peritonilis, aiiil pfe'iiriVis S°Tic-B^mf ''*"' 1"^^'^'^**""^'^' Pl'iiiiitis, and pericarditis' No. of rabbits. Per cent. 52. G 15.7 10. 5 10.5 10.5 ,, T^^e Inoculations with pure cultures of the bacteria obtained from the different rabbits, although few iu number, are important, as they verify the results obtained from the original inoculations. The sub- cntaueous inoculation with one-eighth cubic centimeter of a bouillon culture of the germ from cattle resulted in extensive local reaction and peritonitis. The inoculation of a rabbit subcutaneously in the ear with a loop of an agar culture from cat No. 1 is also interesting as It not only lived nearly as long as the original rabbit, but devel- oped peritonitis. The rabbit inoculated subcutaneously with a culture from cat No. 2 is the only rabbit in these experiments that lived over 24 hours without exhibiting some point of localization of the germs on the serous membranes. The difference in the virulence of the germs obtained from cattle, cats and dogs, and the consequent variations in the character of the lesions produced in rabbits, are paralleled in similar inoculations from pigs and with cultures of the swine-plague bacteria obtained from sporadic cases and the different outbreaks of that disease, I have, therefore, not found in the inoculations of rabbits any pathogenic property possessed by any of the septic germs discovered in the upper air passages of he^iUhy animals that will differentiate them from the swine-plague bac- Gultural characters.-From the blood or spleen of each rabbit cultures were made on agar or in bouillon. From these, subcultures were made in the various culture media employed in differentiating bacteria for the purpose of determining, if possible, any cultural differences that might exist between them, or between them and the swine-plague bac- teria. As these cultures were obtained at different times and the media used prepared on different dates the occasional slight variations in the character of the growth that were observed between the different bac- teria could not be considered as constant differences, as it was found that these bacteria, like those of swine plague, do vary slightly in cul- ture media. In view of this fact two series of comparative cultures have been made on the different media, each medium being prepared trom the same material and at the same time. The comparative cultures were made (1) from cultures of bacteria ob- 157 tallied from a liealtliy pig, cat, and dog; (2) from cultures of attenuated and of viruleut swine-pla<;ue bacteria, and (3) from cultures of .swiue l)lague bacteria found in a <;uiiiea -pig that died of si)oiadic pneumonia. Unfortunately the germs from the upper air passages of cattle had perished at the time the comparative cultures were made. (a) Xiitrieitt agar. — The growths of tbo Various bacteria upon tbis sii1)stratuiii were uot distinguisbable ouo from the otber. (b) Alkaline peptonized houiUon. — Tbo growth in the bouillon cultures uiado from the blood or spleen of a few of the rabbits consisted of small, grayish Hakes. These were at first held in suspension in the liquid, but soon settled, leaving the supernatant culture fluid perfectly clear. This character was uot constaut, as the clumps of growth gave way to a uniform cloudiness of the culture liquid after a short scries of subcultures. The bouillon cultures from all of the other rabbits wei"e uniformly clouded. In the first series two of the germs grew in clumps. The others imparted a uniform cloudiness to the lic^uid. After 7 days standing the growth had settled in the bottom of the tube iu the two cultures thatcontained clumps. In the others a thin, grayish, somewhat viscid band composed of bacteria was formed on the sides of the tube at the surface of the liquid. The latter was faintly clouded. The growth of the viru- lent swine-plague germ seemed less vigorous than that of the others. In about '.i weeks there was a considerable quantity of a grayish, viscid sediment iu the bottom of the tubes which upon agitation was forced up, ajjpearing as a somewhat twisted, tena- cious cone with its apex at the surface of the liquid. In the second series the growth in all of the cultures imparted a uniform cloudiness to the liquid. In 48 hours the virulent swine-plague culture was nearly cleared. In 7 days the cultures of the bacteria from the healthy pig and cat aud from the guinca- ])ig's lung were clear. The cultures of the attenuated swine-plague germ and the germ from the healthy dog remained clouded. In every case the grayish band formed DM the sides of the tube at the surface of the liquid as in four of the cultures in the first series. The sediment in the bottom of the tubes was small in quantity and fria- ble. The reaction of all of the cultures was decidedly acid after "24 hours ; less strongly so after 4 weeks. The difference in the character of the sediment in the two series of cultures was very marked. This same variation has been observed in other bouillon cultures of the same bacteria. It is important to add that the variation in the character of the growth iu bouillon cultures of any one of these germs has been found to be as great as that between cultures of the bacteria from different sources. Although these bacteria change the reaction of an alkaline bouillon to an acid one during their multiplication, they will not grow when inoculated into peptonized beef-broth that has not been neutralized. (c) Peptonized houillon containing 2 per cent, glucose. — The growth of the various bacteria iu fermentation tubes containing this li(|uid does not vary in the cultures * examined. (ri) Gelatine. — The growth in this medium is uncertain. The germ from cat No. 2 developed minute grayish colonies in roll cultures. They were, however, too small for diagnostic purposes. One of the swine-plague germs occasionally developed mi- nute colonies. The other bacteria did not grow, although a large number of cultures were made from each. (e) Potatoes. — No growth. (/) Milk. — No appreciable change iu the appearance of the milk was produced. Slightly acid in reaction. Cover-glass preparations showed a vigorous multiplication of the bacteria iu every culture. In this medium the bacteria appeared as rods longer than under other conditions under which they have been ins normal. On cover-glass jireparations from the liver are minute bodies which appeared to be bacteria. Tul)es of agar inoculated with a bit of the blood and liver developed a rich grayish growth not distinguishable from an agar culture of swine-plague bacteria. April '^4 a rabbit was inoculated subcutaueously with a very small ([uantity of the growth from the blood culture. The rabbit died in 20 hours. Innumerable swino- plague bacteiia in the various organs. The polar stain was very marked in stained cover-glass preparations. Pure cultures of the same bacteria were obtained from the blood. April 28 two fowls were inoculated with an agar cultuiv; from the blood of fowl No. 1. The surface growth of the agar culture was diluted with about 1 cubic cen- timetre of sterilized bouillon. Of this dilution, fowl a received 0..'> cubic centimetre subcutaueously over the pectoral muscle, and fowl h received 0.5 cubic centimetre into the pectoral muscle. Fowl h died May 4. At point of inoculation a yellowish membrauoua sequestrum beneath the skin over an area about 2 inches long ; beneath this the pectoral muscle was necrosed to a depth of about one-half inch. The surrouudiug muscle was sprinkled with punctiform hemorrhages. Heart muscle pale ; considerable serum in pericardial sac, which contains also several small straw-colored coagula. Liver fatty ; somewhat mottled, with grayish and bright red areas. Spleim enlarged ; friable. Kidneys i)ale ; fatty. The mucous membrane of intestines sonunvhat injected. CEsophagus and trachea normal. Lungs of a grayish color ; not consolidated. A very few oval bacteria, which did not exhibit the polar stain, were found in the spleen, liver and blood. Cultures from the blood and liver could not be distinginshed from cultures of swine-plague bacteria. Fowl a found dead May 11. Fowl much emaciated. At the point of iiioculation a Bcquestrum about 1 inch long lying beneath the skin ; subjacent muscle reddened. Heart muscle i)alc. Liver fatty ; quite firm. Spleen friable. Kidneys dark. The mucous membrane for a distance of about 4 inches below duodenum in the small in- testine has a roughened appearance, resembling superficial necrosis. A few oval germs found in liver and blood. An agar culture from the liver showed same charac- ters as cultures from fowl h. From the agar culture of the blood of fowl 1, agar and gelatine plate cultures were made. The agar plates developed colonies not distinguishable from swine-plague colonies. The gelatine i)lates remained free from growth. Other cultures have been made on the various media, but thus far no difi'ereuce has been detected between the growth of this germ and that of swine plague. Fowl No. 2. This fowl was not known to have been sick. Sternum showed evidtmce of an old injury. Liver fatty. Spleen enlarged. Kidneys normal. Mucous mem- brane of duodenum generally reddened, also sprinkled with minute bright red dots, probably injected villi. The mucous membrane of the mouth and cesophagns swollen, hyperaimic, and covered with a thin yellowish very friable exudate. The follicles and glands deeply reddened. The larynx and trachea contained a yellowish, croup- ous exudate in the form of a tube, easily removable in sections from one-fouith to I inch in length. The mucous membrane beneath tke exudate swollen ; cyanosed. It does not extend into the bronchi. Lungs normal. No bacti ria were found in the liver, spleen and blood. Cultures made from these organs remained clear. Agar plate cul- tures were made from the tracheal exudate. There developed a few chromogenic col- onies, and about five colonies of a very slender motile bacillus. Two rabbits inoculated subcutaueously with pieces of the exudate remained well. A rabbit inoculated in ear vein with 0.5 cubic centimetre of a bouillon culture of the bacillus obtained from the agarplates, and twomice inoculated subcutaueously w'ith the same culture, remained well. DESCRIPTION OF PLATES. ri.ATE I: Lungs of a healthy pig inflated, viewed from the left side ; a, principal lobe ; h, ventral lobe ; c, cephalic lobe; e, apex of heart. The dotted area bounded by the line xy indicates the portion usually involved in disease. Plvte II: The same luugs viewed from beneath (ventral, diaphragmatic surface); a, prin- ciiiallobe; 5, ventral lobe ; c, median or azygos lobe belonging to the right lung; e, apex of heart. The dotted area shows the average extent of the disease. Platk III: Lateral view of right lung of pig No. 407, outbreak IV. (See p. 24). The hep- atized regions are almost completely covered with a false membrane. Plate IV: The same lung as seen from the ventral surface. A portion of the diaphragm is fa.stened to it by means of exudate. The localization of the disease in the anterior (cephalic) and ventral jjortions is well brought out in these two plates. Plate V : Right lung from case 9, outbreak VII (see p. .38), showing hepatization of portion of cephalic, ventral, and afij.'uent principal lobe. Minute necrotic masses disseminated through the hepatized tissue. On the left more recent disease with marked interlobular cedema. Plate VI: Left lung of No. 2'v> (p. 46), showing extensive pneumonia after the injection of culture liquid into the right lung. There is in addition exudative pleuritis and pericarditis. Plate VII : Section of lung passing through bronchus. In the principal lobe around bron- chus the lung tissue is completely transformed into firm caseous masses. From outbreak IV. Plate VIII: Fig. 1. Section through one of the lobes of a diseased lung from outbreak IV, illustrative of the caseation so frequently encountered in this outbreak. The irregular patches of a homogeneous, faintly yellowish tint represent the cut surfaces of caseous masses. Fig. 2. A portion of the mucous membrane of the large intestine (outbreak IV), showing the peculiar isolated masses of exudate found in early cases of this outbreak. 1614 11 161 162 Plate IX: Fig. 1. Collapse of groups of lobules in the principal lobe of a pig's lung. Fre- quently associated with bronchitis and lung worms. Fig. 2. Broncho-pneumonia. The cut surface of the lung tissue shows the occluded small air tubes as yellowish spots. The air vesicles or alveoli appear as minute yellowish dots in groups on the surface of the lungs, the color being due to the cell masses filling them up. The exudate plugging the air tubes is sometimes firm enough to be teased out in the form ot branch- ing cylinders. This form of lung disease is frequently associated with both hog cholera and swine plague, and may occur independently of them. Plate X: Heart exposed by removing pericardium. The surface of the heart (epicardium) is covered with exudation. The pericardium very much thickened by exud- ation of similar character. From case 12, outbreak VII. Plate XI : Fig. 1. Cover-glass preparation from spleen of rabbit inoculated with a particle of luug tissue from case 15, outbreak IX. Rabbit dead within 40 hours. Preparation stained in alkaline methylene blue and mounted in Xylol bal- sam. X 1,000. Fig. 2. Section from left lung of inoculated pig No. 275, outbreak VII (see p. 46), showing extensive cell infiltration of the alveoli and small air tubes. Tissue hardened in alcohol, stained in alkaline methylene blue. Mounted iu bal- sam. X 140. Fig. 3. A portion of the contents of an alveolus from the preceding figure highly magnified to show swine-plague bacteria. X 1,100. Fig. 4. From the liver of No. 454 inoculated subcutaneously with bacteria from outbreak IX (see p. 74). Intralobular capillary containing a mass of swine- plague bacteria. Section prepared and stained as indicated in the description of the preceding plate. X 1,100. Plate XII: Fig. 1. a, Surface colonies and deep colonies of swine-plague bacteria (outbreak IX) on an agar plate one week old. The small, round, and lenticular bodies represent the deep colonies, the larger ones the surface colonies; uatural size, b, A surface colony enlarged 17 diameters, showing reticulated center, and delicate radially striated periphery. Fig. 2. Two deep colonies from the same plate enlarged 17 diameters. Fig. 3. Colonies of swine-plague bacteria from outbreak I (1886), on a gelatine plate, 7 days old. X 60. Fig. 4. Agar tube culture of swine-plague bacteria (from outbreak VIII), about 2 days old. Natural size. (;.iii,Mnix.iii'i I'l.A'i' 1-: LTNOS OF I'Ki IX1''LAT1'".I). (' ?> ) IMvAT I-: III 1 ^ 7^ 7) ; > / .t»- - e 'A I'l.A'i' I'-, v: AHdep S Co.Lilhacauslii: Baltimui m1':patizati()x ok i.rxos wvm xkchotic foci X, 'X ■T. X: y. y. X < ^/ Fip iM..\'r K vjji • ^ C 1 Fi^2. A fj * *f Qi ^ :l ^^Mlt <>M;ivx,l'i;cit A.Hqep X Co LithDcauslicBahiraare S\\n:s^E 1^1. AG UK iM..\'r 1-: IX Fib.l. Fio.2. (^.MiiTX t<:t;il A.Hoen u Ca.Lithnc?.u5tic. Baltimore . CO l.I. A 1? SK AX I ) H RO NGH - P.\ F.U MON lA . V IM .A 'J- I-: XI • •• • A--''., ■ : i^:^:-:] A.Hoen I Co.Lithocaustic Ballimare . SAnxK t^t.aot-t:' I'l.AT 1-; XII / A HcEn ;; Co LnhDcaustii: Ballrmar INDEX. Abdomen of swiue, injecticti of swine-plague bacteria into 29 45 Agar-agar, growth of swine-plague bacteria on 88 Age as predisposing to infection 133 Air passages of domesticated animals, attenuated swine-plague bacteria in.. 109 American investigations of swine plague, review of 118 Animal parasites in swine plague 31.47, 104, 134 Ascaris 134 Attenuated swine-plague bacteria 94 in sporadic cases of pneumonia and in septic diseases of swine, and in the upper air passages of healthy swine, and other domesticated animals 109 Bacilli closely resembling hog-cholera bacilli found in swine-plague out- breaks 77 Bacillus coli communis 11), 78 Bacteria associated with swine plague 15, 77,80 of swine plague. (See Swine Plague.) Bacteriological observations in swine plague 11, 'M~8i Barbone hufalino 143 Billings, F. S., review of report on swine plague 118 Biological characters of swine-plague bacteria 85 Bleisch and Fiedeler, investigations of German swine plague by 129 Boiling water as a disinfectant 14(; Bollinger, investigations of JVildsenche 141 Bouillon cultures, advantages of 14 growth of swine-plague bacteria in 88 Breed as predisposing to infection • 133 Buffalo disease in Italy resembling swine plague » 143 Burrill, T. J., cultures of swine-plague bacteria sent by 124 Carbolic acid as a disinfectant 145 Caseation of the lungs in swine plagse 101 Cats, bacteria in air passages of, resembling swine plague l.'')2 Cattle and game atfected with disease resembling swiue plague 141 bacteria in air passages of, resembling swine plague 15i Colonies of swine-plague bacteria ■. 87,88 Comparison of bacteria obtained from air passages of domesticated animals. 156 Conclusions 149 Conditions Avhich favor and oppose swine plague 133 Corrosive sublimate as a disinfectant 146 Cultivation of swine-plague bacteria 87 Cultures, bow made 12 Digestive tract in swine plague 102 Diphtheria and swine plague compared 117 Distribution of swine-plague bacteria 135 163 164 Page. Districtof Columbia, investigations in 23,31 Disinfectants, application of 146 for swine-plague bacteria 91 Disinfection, rules for 145 Dogs, bacteria in air passages of, resembling those of swine plague 153 Drying destructive of swine-plague bacteria 90 Echinorhynchus .» 134 Feeding as predisposing to swine plague 134 Fermentation tube, use of in the diagnosis of hog-cholera bacilli 81 Food i n its relation to swine plague 137 Fowl cholera 144 disease caused by bacteria resembling those of swine plague 158 Fowls inoculated with swine plague bacteria 21, 77, 96 Galtier, investigation of swine disease in France by 143 Gelatine, growth of swine-plague bacteria on 87 German investigations of swine plague 125 German swine plague 31,85, 122, 125 inoculation of rabbits and pigs with 123 Guinea-pigs, inoculated with swine-plague bacteria 21,47,76,95 pneumonia and pleuritisin, caused by bacteria resembling those of swine plague 158 Hog-cholera bacilli 34,35,39,40,41,77 attenuated varieties of 77, 138 Hog cholera, its relation to swine plague 138 post-mortem notes in 56 Hog cholera and swiue plague (See Swine Plague and Hog Cholera.) bacteria inoculated together 106 on same farm but not intermingled 47 and typhoid fever compared 108 Hlinois, investigations in 20 immunity produced in rabbits with sterilized cultures 148 Indol and pbenol in swine-plague cultures 89 Inoculation of smaller animals 13 small animals with swine-plague bacteria 93 swine with cultures of swine-plague bacteria 21,29,45,71,97 German swine plague 128 Intestinal lesions in swine plague 98,102,103 Intestines of swine 17 Intra-abdominal injection of swine-plague bacteria 29, 45 Intra-thoracic inoculation of swine-plague bacteria 21,45, 71, 74, 113, 121 lutra- venous inoculation of swine-plague bacteria 71,75, 128 In troductory 9 Iowa, investigations in 23,28 Jeffries, J. A., investigations of swine plague by 123 Joint disease produced by intra- venous injection of swine-plague bacteria. .. 75 Kitt, investigations of cattle disease resembling swine plague by 142 Lime as a disinfectant 91, 145 Loffler, investigations of swine plague by 125 Lung disease in swine plague 98 Lungs of swine, description of 17 injection of swine-plague bacteria into 21,29,45, 71, 113 Lung worms associated with swine plague 104, 134 in outbreaks VII and VIII 31,47 Malignant oedema bacilli found in swine-plague outbreak 80 Maryland, investigations in 27 165 Pajie. Mercuric cliloride as a disinfectant 14G Mice inoculated with swine-plague bacteria 21, 47,77 Milk, growth of swine-plague bacteria in y9 Moore, Dr. V. A., report on the presence of septic bacteria jnobably identi- cal with those of swine plague, in the upper air passages of domesticated animals other than swine 151 Morphological characters of swine-plague bacteria 85 Necrosis of the lungs in swine plague 101 New Jersey, investigations in 57 Parasites in their relation to swine plague l;?4 Pathogenic action of swine-plague bacteria 93 Peritonitis in swine 112 Peters, F., investigations of German swine plague 131 Phenol and indol in swine-plague cultures 89 Pigeons inoculated with swine-plague bacteria 21, 77, 96 Plate cultures, limitations of 14 Plales, description of 161 Pneumonia in cattle resembling swine plague 144 guinea-pigs following inoculation with swine-plague bacteria. 47 man and swine plague compared 117 rabbits following inoculation with swine-pl.igue bacteria 94, 124 swine plague 98 sporadic cases of 109, 111, 151 Post-mortem notes in swine plague 24,32, 49,58,69,72,73, 74,75,76 I'ractical observations on the prevention of swine plague 133 Preventive inoculation for swine plague 148 Rabbits inoculated with hog-cholera bacilli 35, 4ii,56, 79 swine-plague bacteria .... 1(3, 19, 21, 25, 32, 38. 39, 49, 54, 55, 56, 60, 65, rt3, 93, 111-116, 124, 127, 128 Rabbit septicaemia 125, 144 Saliva of domesticated animals containing disease germs 109, 151 Schiveineseuche. (See German swine plague.) Schiitz, investigations of swine plague by 126 Soil, destruction of swine-plague bacteria in 91 Staining of swine-plague bacteria f^5 Strongylus paradoxus (lung worms) 134 Subcutaneous inoculation of swine-plague bacteria 21,45, 71.74, 113, 128 Sulphuric acid as a disinfectant 146 Swine, injection into lungs of, with swine-plague bacteria 21, 29, 45. 71, 113 veins of, with swine- plague bacteria 71,75, 128 Swine inoculated with hog-cholera bacilli 80, 97 swine-plague bacteria 21,29,45,71,97,106,113 large intestine of 17 lungs of 17 subcutaneous inoculation with swine-plague bacteria 21,45,71,74,113,128 Swine plague and hog cholera compared 105 intermingled, how distinguished 14 and pneumonia in man compared 108 as related to diseases of other domesticated animals 141 associated with hog cholera 14, 20, 23, 27, 31, 77, 82, 84, 103, 104 bacteria, attenuated varieties of 15, .55,94, 1:58 carried by young and old animals 110, 114 cultivation of -. 87 distribution and transmission of 135 166 Page. Swine plague bacteria, general characters of 85 injection into abdomen of pigs 29,45 lung-! of pigs 21,29,45,71,113 veins of pigs 71, 75, 128 under skin of pigs 21, 45, 71, 74, 113, 128 inoculated into small animals 93 non-motile ." 86 objects which may carry 145 pathogenic action of 96 producing phenol and indol in cultures 89 readily destroyed by various agents 90 caused by direct infection 69 conditions which may favor and oppose 133 in Germany 125 iavestigations by Billings, F. S 118 Bleisch and Fiedeler 129 Burrill, T.J 124 Jeffries 123 Loffler 125 Peters 131 Schiitz 126 Welch and Clement 122 in District of Cohinibia 2 5,31 Germany 125 Illinois 20,124 Iowa , 23,28 Maryland 27,122 Massach usetts 123 Missouri 82 New Jersey 57 its relation to hog cholera 106, 138 modified by vaccination 94 outbreaks of 19,20,23,27,28,31,47.57,82,84 preveutiou of 133, 145 preventive inoculation for 148 treatment ofig 146 with reference to human disease 108 Table showing difference between hog-cholera and swine-plague bacteria . .. 92, 105 distribution of hog cholera and swine plague 140 Temperature at which swine-plague bacteria multiply 89 Treatment of swine plague 146 Varieties of hog-cbolera bacilli 138 swine-plague bacteria 93, 136 Virulence of bacteria, importance of 117 swine-plague bacteria 135, 144 Water, destruction of swine-plague bacteria in 92 Welch, W. H., and Clement, A, W., report on swine plague 122 Whitewash as a disinfectant 146 Wildseuche 141