1900年的坏血病和流感:在证据中消失的真相

Tereza Kopecká
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摘要

在19世纪的最后三分之一,感染的细菌理论得到了可靠的证明并被广泛接受,微生物学研究的新原理被确立,许多传染病得到了解释。但当时的医学还不能解释所有的疾病。尽管许多科学家进行了彻底的工作,但实质性的事实仍然未知,例如大多数病毒、自身免疫过程或微量营养素的存在。用现有的知识来解释所有疾病的努力产生了半真半假的概念和错误。本文讨论了Hlava和Obrzut于1900-1901年在奥匈帝国出版的病理解剖学和医学微生物学教科书中发现的两个有趣的错误:坏血病是由坏血病芽孢杆菌引起的感染的概念,以及所谓的“普发氏芽孢杆菌”-流感芽孢杆菌,即现在的流感嗜血杆菌-在流感中的致病作用。这些不仅是理论,而且是基于科学研究结果的专家意见。不幸的是,这些方法是不完美的,执行/解释也不正确,所以他们没有让科学家意识到他们结论的错误。上述疾病的真正原因在很久以后才得到证实。
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Scurvy and Flu in 1900: The Truth Lost in Evidence
In the last third of the 19th century, the germ theory of infection had been reliably proved and widely accepted, new principles of microbiological research were laid down and many infectious diseases explained. But medicine was not ready yet to explain all the illnesses. Despite the thorough work of many scientists, substantial facts were still unknown – e.g. existence of most viruses, autoimmunity processes or micronutrients. The effort to explain all the diseases with existent knowledge gave rise to half-true concepts and mistakes. This paper deals with two interesting mistakes, found in the textbook of pathological anatomy and medical microbiology by Hlava and Obrzut, published in 1900-1901 in Austria-Hungary: the concept of scurvy as an infection caused by Bacillus scorbuti, and the causative role of the so-called "Pfeiffer’s bacillus" - Bacillus influenzae, presently Haemophilus infuenzae, in the flu. These were not only theories but expert opinions based on the results of scientific research. Unfortunately, the methods were imperfect and performed/interpreted properly either, so they didn’t allow the scientists to realize the erroneousness of their conclusions. The real causes of the diseases mentioned above were proven much later.
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