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Biomedical subjects

M K Mukherjee

Publications and source records attributed to M K Mukherjee.

At least 37 records · Page 2Linked to original sources

Virus excretion in smallpox. 1. Excretion in the throat, urine, and conjunctiva of patients.

Excretion of virus in the throat, urine, and conjunctiva of smallpox patients was studied daily for 2-3 weeks after the onset of fever. The virus titre in the throat and urine of haemorrhagic and confluent cases was higher than in discrete cases. The duration of virus excretion was also greater in confluent cases than in discrete cases. Conjunctival swabs from all 12 smallpox patients with conjunctivitis were positive for virus. The duration and titre of virus excretion in the throat, urine, and conjunctiva of patients were not related to their age or sex and did not depend on whether or not they had received a primary vaccination.

Adolescent↗

Virus excretion in smallpox. 2. Excretion in the throats of household contacts.

Throat swabs of 34 of 328 family contacts of 52 smallpox cases, examined 4-8 days after the onset of the disease in the family, were positive for variola virus. The log titre of virus per swab ranged from 2 to 3.95. A higher proportion of unvaccinated than of vaccinated contacts excreted the virus. Only 4 of the virus-positive contacts developed clinical smallpox; this occurred 5-7 days after their swabs were examined. Excretion of virus in the throats of these contacts, a few of whom were in the incubation period of the disease, suggests the possibility that they could have spread the infection. This possibility, if kept in mind, may help in tracing the source of infection or in determining the incubation period in a few instances when difficulty is experienced.

Adolescent↗

Evaluation of the precipitation-in-gel reaction in the diagnosis of smallpox.

Specimens of vesicular or pustular fluids and of scabs from patients with smallpox as well as emulsions of variola-infected chorioallantoic membrane (CAM) were tested for virus titres and by the precipitation-in-gel (PIG) reaction. They were also tested after exposing them directly to sunlight and after keeping them at temperatures of -20 degrees C, 4 degrees C, and 25 degrees C. It was found that when extracts of fresh specimens were diluted to the point where the PIG reaction became negative there was still a titre of 10(4)-10(5) infectivity in the swab extracts and 10(3)-10(4) infectivity in the scab extracts. It was also found that the PIG reactions were all negative on specimens that were kept for 14 days at 25 degrees C, and that several were negative after only 7 days; the loss in infectivity titre, however, was only slight in all the specimens tested. It is concluded that the laboratory diagnosis of smallpox by virus inoculation of CAM is more reliable than by the PIG test.

Animals↗