MILK AND CHEESE PTOMAINES. The role which milk and its products play in the causation of disease has recently acquired

importance owing to the Vaughan, University.

a

valuable

new

searches of Professor

of

The occasion of these researches of sudden outbreaks of illness in ent

parts

which

of the

Michigan

was a

series

widely

differ-

Michigan State,

had been traced to

re-

the

cause

particular

of

cheeses.

Some 300 persons who had partaken of the cheeses had been suddenly affected with vomiting,

purging, dryness and constriction, of the fauces, cramps and prostration ; going on, in some cases, to collapse. Notwithstanding these alarming After two years of Vaughan succeeded in

symptoms all recovered. close

investigation, isolating from the

Dr.

highly poisonous name Tyrotoxicon (cheese-poison). By rendering the cheese slightly alkaline with potassium hydrate, agitating with ether, separating the etherial layers, Ptomaine to which

cheeses

acid,

gave the

he

filtering, evaporating allowing it to stand

he extracted the

a

the

in

filtrate,

vacuo

over

ptomaine which gave

and

then

sulphuric

in the form of

a blue colour needle-shaped crystals, with potassium ferri cyanide, and ferri chloride

and reduced iodic acid.

244

THE INDIAN MEDICAL GAZETTE.

The

crystals placed

burning

a

sensation.

the tongue produce Given to a cat or dog on

outbreaks

ply.

were

[Aug.,

distinctly

traced

1887

the

milk-supShippen Wallace, further able to isolate to

Dr. Newton and Mr.

tyrotoxicon causes, in a short time, vomiting, the investigators, were purging, retching, muscular spasms over the tyrotoxicon from the poisonous milk which, abdomen, and collapse. This important dis- when given to a cat, produced the same sympcovery was followed by the isolation of the toms. In connection with this subject we may same poison from a sample of milk which had been standing for six months in a tightly- notice a paper which has appeared in the July stoppered bottle. Not satisfied, however, that this number of the Practitioner, in which Surgeon, milk had been normal in composition when R. H. Firth, of the Army Medical Staff, placed in the bottle, Dr. Vaughan put several describes a choleraic outbreak amongst the gallons of normal milk into clean bottles with European Infantry at Mean Meer, which he glass stoppers, allowed them to stand in his traces to the milk-supply. A seriesof experiments laboratory, and from time to time opened a on the suspected milk followed exactly similar to bottle and tested for tyrotoxicon. Negative those made by Drs. Vaughan, Newton, and results occurred until three months after the Shippen Wallace. So close indeed are Surgeon was when from one of the Firth's methods to those of the American experiment begun, bottles the ptomaine was obtained. While this doctors?even in the wording of his interestincr experiment was in progress, some ice cream, article, also in his explanations and conclusions, O

which had caused in 18 persons symptoms similar to the cheeses, was sent to the laboratory, and

again

Dr.

Vaughau successfully

By the addition of a poisouous ice-cream

able within 48 hours a

considerable

experiment toxicon is ments, affected or

less

gestive

to

quantity seemingly

very small milk, he has been

obtaiu from the milk

ptomaine.

indicates

that

of

some

intimate relation between

production

tyro-

butyof the

Fresh interest in these experiments is aroused by a series of outbreaks in New Jersey State. On August 7th, 1886, 24 persons at one

Long

Reach

were

taken

ill,

soon after supper, with nausea, vomiting, diarrhoea, cramps, and collapse 5 dryness of the throat,

and also the the

burning sensation in the oesophagus were prominent symptoms. At another hotel, on same evening, 19 persons were seized with same form of sickness, and, oddly enough,

while the

ill with

of the sickness was being in30 persons at another hotel were taken

cause

vestigated,

precisely

the

same

symptoms.

the remarkable coincidence. The subject of ptomaines in milk is whenever

poison.

of the hotels in

the substitu-

L-ictotoxine for

should be thoroughly

chemical

ric acid fermentation and the

name

This

body produced by fera probably by micro-organism. The cheese, milk, aud cream had all more butyric acid present in them, suga

important exception, viz.,

Tyrotoxicon? that, making allowance for the difficulty of seeing in India the works of others on the same of portion subject, we cannot help being impressed with

to

of the

one

tion of the

extracted tyro-

toxicon. the

with

The

object

opportunity

that

profession

we

to

one

worked out in this occurs.

which

country

It is with this

would draw the attention of the

Tyrotoxicon

or

Lactotoxine.