Applied Bacteriology for Nurses

Cover Applied Bacteriology for Nurses
Applied Bacteriology for Nurses
Charles Frederick Bolduan
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Unlike the typhoid bacillus, the cholera spirillum does not penetrate deep into the wall of the intestine, but produces an intense poison while multiplying in the intes- tinal contents and in the superficial layers of the intestinal mucous membrane. The absorption of the poison pro- duces the clinical symptoms of the disease. These begin with diarrhea and colicky pain in the abdomen. In a short time the diarrhea becomes intense and profuse and is accompanied by vomiting. Many of the pa- tients
...die at this period in a state of collapse. The stools are at first yellowish, but soon become grayish white, and are then termed "rice- water stools. " These discharges often contain the cholera spirilla in practically pure culture. When recovery takes place the stools gradually resume their normal color and the cholera spirilla disappear.
The disease is spread chiefly by contaminated water used for drinking, cooking, and washing. Vegetables washed in infected water, particularly lettuce, cress, and the like, may convey the disease.


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