A BACTERIOLOGIC STUDY OF OYSTERS, WITH SPECIAL REFERENCE TO THEM AS A SOURCE OF TYPHOID INFECTION. BY CHARLES J. FOOTE, DEMONSTRATOR OF BACTERIOLOGY IN THE MEDICAL DEPARTMENT OF YALE UNIVERSITY. FROM THE MEDICAL NEWS, March 23, 1895. Reprinted from The Medical News, March 23, 1895.] A BACTERIOLOGIC STUDY OF OYSTERS, WITH SPECIAL REFERENCE TO THEM AS A SOURCE OF TYPHOID INFECTION. By CHARLES J. FOOTE, DEMONSTRATOR OF BACTERIOLOGY IN THE-WffClCAL DEPARTMENT OF YALE UNIVERSITY. At the suggestion of Dr. C. A. Lindsley, Secretary of the Connecticut State Board of Health, I have made some bacteriologic experiments with oysters and with the water in which they grow, in order to determine how far the bacteriologic evidence supports the idea that typhoid fever may be communicated by oysters. The conditions favoring the communication of typhoid fever by oysters require that the Bacillus typlii abdomi- nalis should live a few hours at least in the water in which the oysters grow, and that, having been received between the shells of the oyster, it should live in the substance or juices of the oyster until such a time as this is eaten. In this locality this time would be from a few hours to four or five days, as it is the custom to “drink” the oys- ters in the river after bringing them in from the sound, for a few hours or days before opening them, in order to clean them, lessen their salty taste, and fatten them. The work of other investigators on the vitality of the B. typhi abdominalis in salt water is not quite ap- plicable to the instance under discussion, inasmuch as the temperature of the water is not given nor the amount of salt; and indeed, in some instances, the experiments were made with a sterile salt-solution. Freytag found that the B. typhi abdominalis would live in concentrated 2 salt-solution five months.1 Giaxa detected it in unsteri- lized sea-water after nine days from the date of infec- tion, in sterilized water after twenty-five days.2 My experiments were made to find how long the B. typhi abdominalis would live in water having the same percentage of salt, the same temperature, and the same bacteria as the water in which the oysters were planted. On December 20th a liter of water was taken from the river X, at low tide, in a sterilized flask directly over the oyster-beds. The flask was carried immediately to the laboratory, and ten c.c. of a bouillon-culture of the B. typhi abdominalis were emptied into it. The flask was then put in a wooden box outside of the window of the laboratory. Thus the temperature of the water ap- proximated at least that of the river. The mean daily temperature of the weather during the experiment was taken from the weather-reports, and was as follows: December 21st, 36° F.; 22d, 420 F.; 23d, 240 F.; 24th, 240 F.; 25th, 38° F.; 26th, 240 F.; 27th, 250 F.; 28th, io° F.; 29th, 90 F.; 30th, 180 F.; 31st, 240 F. For the first few days the water was not frozen, pro- tected as it was in a wooden box, but during the last four days of the experiment there was a large cake of ice in the flask, and on December 30th the water was com- pletely frozen and the flask cracked. The last plate from the ice, made on December 31st, shows the vitality of the B. typhi abdominalis in frozen brackish water. Agar plates were made from the flask of water on December 23d, December 27th, and December 31st. The plates were kept at 3j° C. Check-plates were made also from a bottle of water from the river X, which was taken at the same time as the other sample, and was not infected with the B. typhi abdominalis. In every case 1 Zeitschrift fur Hygiene, 1890. * Zeitschrift fur Hygiene, Bd. vi, p. 162, 3 i c.c. of water was added to each plate, and in all cases in which I have stated that the B. typhi abdominalis was present cultures were made, from one or more colonies of each agar plate, on potato and in litmus milk, thus verifying the diagnosis. The results were as follows : Number of Colonies in c.c. of Water. Plate of 23d, of infected water, Innumerable cols, of P. typh. abd. Check-plate of non-infected water, 2 or 3 cols., none resemb- ling B. typh. Plate of 27th, of infected water, Innumerable cols, of B. typh. abd. Plate of 31st, of infected water, Innumerable cols, of B. typh. abd. An estimation of the chlorin in the infected water was made, and there was found to be o.i per cent, chlorin or 0.15 per cent, salt.1 On January 15th two more samples of water were taken from the river X in sterilized liter flasks.2 To one of the samples 10 c.c. of a bouillon-culture of the B. typhi abdominalis were added ; the other sample was used to make check-plates. The flasks were kept at the temperature of the labor- atory, as it was desirable to prolong the experiments, and it was feared that if exposed to the outdoor tem- perature the water would freeze and the flasks crack. The temperature of the laboratory during the experiment ranged from 6o° F. to 70° F. Plates were made at the dates recorded, with the fol- lowing results. 1 For this analysis I am indebted to Prof. H. E. Smith, of the Yale Medical School. 2 An analysis of this water showed it to contain 0.06 per cent, of salt. 4 Water of river X—second sample—fa c.c. in each plate—water infected on January 15th. Water infected with Non-infected B. typh. abd. water. Plates of Jan. 16th, Innumerable cols, of B. 4 cols ; none of B. typli. abd. typh. abd. Plates of Jan. 18th, Innumerable cols, of B. 4 cols.; none of B. typh. abd. typh. abd. Plates of Jan. 21st, Innumerable cols, of B. 5 cols.; none of B. typh. abd. typh. abd. Plates of Jan. 23d, Innumerable cols, of B. 2 cols.; none of B. typh. abd. typh. abd. Plates of Jan. 28th, 130 cols, of B. typh. 3 cols.; none of B. abd. typh. abd. Number of Colonies in c.c. Plates of Feb. ist, About 10 cols, of B. Sterile. typh. abd.; many other kinds growing on plate. Plates of Feb. 5th, B. typh. abd. not dis- covered; plate over- grown with other kinds of bacteria. We may conclude from these experiments that even in extremely cold weather the B. typhi abdominalis will live in unsterilized salt or brackish water eight days at least, while in warmer water it rapidly diminishes in number after the first week, and cannot be detected in the water after three weeks. To determine whether the B. typhi abdominalis will live and multiply in oysters, it is necessary, as a prelimi- nary step, to find out what bacteria, if any, are found in oysters, and whether any of them resemble the B. typhi abdominalis. To determine this point some oysters were taken from the river X on November 27th, at low tide, scrubbed in city water, rinsed with sterilized water, dried on a clean towel, and opened with a sterilized knife. 5 The juice surrounding the oyster was drawn off with a sterilized pipet, and gelatin plates were made, each one containing one drop of the juice. Tubes of Paretti’s solution were also infected with five drops each of oyster- juice. A sterilized platinum loop was plunged into the liver and stomach, twisted around, drawn out and rubbed over slant tubes of agar. The agar tubes and Paretti’s solution were incubated at 370 C., the gelatin plates at about 220 C. The oysters used in this experiment were numbered 1, 2, 3, 4, and 5. The results were as follows : Tubes of Pare Hi's Solution. Oyster i Cloudy. • “ 2 “ “3 “ “4 “ “ 5 Gelatin plates were made from each of the Paretti cultures, but no bacteria resembling in their growth on gelatin the B. typhi abdominalis were found. Most of the bacteria developing in Paretti’s solution from oyster- juice are anaerobic and are nearly all micrococci, so that they may be readily distinguished from the B. typhi ab- dominalis microscopically without making cultures on gelatin. The following is a brief description of the kinds of bacteria found in oyster-juice which grow in Paretti’s solution : (a) In gelatin tube-cultures this presents almost no surface-growth, but shows as a white streak along the line of puncture. There is no liquefaction, and the growth is very slow at 720 F. On potato it forms an in- visible growth. Grown in peptone-solution it gives no indol-reaction. It turns litmus milk slightly acid. It is a micrococcus, 6 sometimes arranged in strings like a streptococcus. It is harmless when injected into the peritoneal cavity of white rats. (b) This bacterium grows dense, white, solid colonies on gelatin plates. The colonies are fairly round, but the outline somewhat dentated. After one week the colonies are nearly one-quarter of an inch in diameter. In gelatin tubes there is a thick, white, pasty surface- growth, with a good growth along the line of puncture. On potato it has a yellow growth. Under the micro- scope it shows large fat oval cocci. (c) On gelatin plates the colonies of this bacterium are small, round and white, of slow growth. There is no liquefaction. In gelatin tube-cultures there is no sur- face-growth, and only a few small yellow globules along the line of puncture. There is no change in litmus milk—no indol-reaction is produced. The microscope shows it to be a micrococcus. (d) In gelatin plates the colonies after one week are minute specks. Under a one-half inch objective they ap- pear as little, round, yellow drops. On potato at 370 C. there is a white growth after twenty-four hours. In gelatin tube-cultures there are little white specks along the line of puncture, with almost no superficial growth. After some days the gelatin becomes liquefied at the surface. The microscope shows medium-sized micrococci. Gelatin plates made with one drop of oyster-juice gave the following result: Oyster 1. Large number of small, white colonies. “ 2. Innumerable, mostly liquefying bacteria. “ 3. Innumerable. “ 4. A few colonies. “ 5. Innumerable. A few days later another experiment was made to determine more accurately the number of bacteria and 7 the kinds found in oyster-juice. The gelatin plates were made with c.c. of juice in each plate. Nine oysters were examined. Number of Number of Number of bacteria in varieties liquefying Oysters. V20 c.c. of noticed in each Kinds recognized. juice. plate. I 18 5 2 2 18 5 Many B. fluorescens liquefaciens. 3 12 5 B. gasoformans. 4 39 3 5 43 7 5 B. fluorescens liquefaciens. 6 48 6 4 7 12 4 2 8 84 10 11 9 34 9 At the same time agar plates were made with jjy c.c. juice of the same oysters, and the plates were incubated at 37° C. Agar Plates of Oyster-juice. Oyster I . Number of colonies in 1/2o c.c. of juice growing at 370 C. I U 2 . 3 “ 3 • . . . . Sterile “ 4 • . Many brown colonies “ S • 8 “ 6 . . . . . . 2 u 7 * . . . . . 2 8 . . . . . . 1 it 9 • . Many brown colonies To determine whether the contents of the stomach contained any bacteria, the oyster was cut open with a sterilized knife and the surface of the stomach scraped 8 with a loop of platinum ; this was then drawn over a slant tube of agar. The loop of platinum was also plunged into the liver-substance, twisted around, drawn out, and rubbed over the surface of a slant tube of agar. Agar Tubes made by drawing a Loop of the Contents of the Stomach over the Surface of the Agar. Tubes incubated at 37° C., Bacteria in one loop growing at 31° C. Oyster 1 Sterile. “ 2 . . . . . Sterile. “ 3 . . . . . Sterile. “ 4 2 cols., not B. typh. abd. “ 5 . . . . .1 col., B. megaterium. A second experiment resulted as follows: Oysters i Bacteria in loop of stomach-contents. . . I col. Bacteria in loop of liver-substance. Sterile 2 . . Sterile Sterile (< 3 • . . Sterile Sterile (( 4 • . . Sterile Sterile a 5 • A few colonies A few colonies u 6 . . . Sterile Sterile 7 • . . Sterile Sterile •• <1 “ Dec. 27th . a a it •< " Dec. 31st . . About 100 cols, of B. typh. abd. “ Jan. 10th . . One or two cols, of B. typh. abd. ; plate overgrown with other bacteria. The following is the record of results with living oys- ters : Oysters Injected with Bouillon-culture of B. typh. abd. on January 16th. Oyster A. Opened January 17th. c.c. juice contains innumerable cols, of B. typh. abd. Stomach, a few cols, of B. typh. abd. Oyster B. Opened January 19th. c.c. juice contains innumerable cols, of B. typh. abd. Stomach, 50 or 60 cols, of B. typh. abd. Oyster C. Opened January 22d. % c c. juice contains 200 cols, of B. typh. abd. Stomach, 2 or 3 cols, of B. typh. abd. 13 Oyster D. Opened January 24th. % c.c. juice contains innumerable cols, of B. typh. abd. Stomach, about 14 cols, of B. typh. abd. Oyster E. Opened January 28th. A c.c. juice contains innumerable cols, of B. typh abd. Stomach, sterile. Oyster F. Opened January 28th. Check from pile not inocu- lated with B. typh. abd. A c.c. juice, sterile. Stomach, sterile. Oyster G. Opened February 2d. A c.c. juice contains about 60 colonies of B. typh. abd. Stomach, sterile. Oyster H. Opened February 13th. A c.c. juice contains about 40 cols, of B. typh. abd. Stomach, 3 cols, of B. typh. abd. In stating the number of colonies of the B. typhi ab- dominalis an exact number cannot be given, as there may have been in some instances other kinds of bacteria present which were mistaken for the B. typhi abdomi- nalis. In general, however, the number is approximately correct, as cultures were made from some of the col- onies of every plate, in litmus milk and on potato, and the mere plate appearance was not alone relied upon to determine whether I was dealing with the B. typhi ab- dominalis or some interloper. These experiments do not throw very much light on the question of the multiplication of the B. typhi abdomi- nalis in oysters. They do, however, seem to show that if multiplication does occur it takes place within the first two weeks, and that after that there is a progressive decrease in the number of the B. typhi abdominalis found in oysters, but that it may be found even after thirty days from the date of infection. They further show that the B. typhi abdominalis not only lives in the juice, but penetrates into the stomach and lives there for some time. In fact the B. typhi abdominalis lives longer in the juice and stomach of the oyster than it does in the water in which the oyster grows. The Medical News. Established in 1843. A WEEKL YMEDICAL NEWSPAPER. Subscription, $4.00 per Annum. The American Journal OF THE Medical Sciences. Established in 1820. A MONTHLY MEDICAL MAGAZINE. Subscription, $4.00 per Annum. COMMUTA TION RA TE, $7.30 PER ANNUM. LEA BROTHERS &•* CO. PHILADELPHIA.