800 MICROBIOLOGY OF DISEASES OF MAN AND DOMESTIC ANIMALS 



The cholera organism gains entrance through the mouth. 



Having succeeded in passing the acid secretions of the stomach the 

 vibrios probably develop with great rapidity in the small intestine. 



The peculiar conditions favorable to the development of the 

 organism in the intestine are unknown. A previous gastro-intestinal 

 disturbance is probably necessary even though slight. 



The organisms have rarely been demonstrated in blood cultures. 

 The gall-bladder gives the highest percentage of positive cultures. 





L, 



,^^ •;:^«'''-%x 









'C^-x 



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■ '^-EotLaatk**" 



%' 



Fig. ];69.^-Microspira comma. Colonies on gelatin plates, a, Twenty-four hours 

 old; 6, thirty hours old; c, forty-eight hours old. (After Fraenkel and PJeij^er 

 from Williams, 



Highly lytic and agglutinatiiig sera can be developed experimentally, 

 but little or no antitoxic power can be demonstrated. 



Protective inoculation has shown considerably more encouraging 

 results than serum therapy. 



The cholera vibrios are eliminated in the discharges. Water and 

 uncooked food becoming contaminated with cholera excreta are the 

 chief means by which the epidemic is spread, so that its epidemiology 

 is similar to that of typhoid fever. 



