A QUANTE?A?€VE COMPAMSON 0F GRQWTH QF CERTASN M‘EMBERS OF THE Camus; {QEQSEREBMM 3N comomv EMWGYED mm: mm CQMPAMYEVE mm w “FREE Gaawm EN 50m NEW MEDIA Thais for H1. Degree a»! M. S. MICHiGAN STATE COLLEGE Robert B. Whoaton 1954 THESI! This is to certify that the thesis entitled A Quantitative Comparison of Growth of Certain Members of the Genus Clostridium in Commonly Employed Media with Comparative Data on their Growth in Some New Media. presented by Robert B. Whe aton has been accepted towards fulfillment of the requirements for MS. degree in Bacteriology flQW Major professlr Date J2m— 0-169 A QUANTITATIVE COMPARISON OF GROWTH OF CERTAIN MEMBERS OF THE GENUS CLOSTHIDIUM IN COMMONLY EMPLOYED MEDIA WITH COMPARATIVE DATA ON THEIR GROWTH IN SOME NEW MEDIA By ROBERT E. WEEATON A THESIS Submitted to the School of Graduate Studies of Michigan State College of Agriculture and Applied Science in partial fulfillment of the requirements for the degree of l FASTER OF SCIENCE Department of Bacteriology 1954 THESIS INTRODUCTION . . HISTORICAL REVIEW METHODS AND MATERIALS RESULTS . DISCUSSION SUMMARY . REFERENCES \ TABLE OF CONTENTS ‘7‘ 6‘1)“§~S~:J ‘_.:'~'_:" ‘3‘: i 'v a Page 15 54 60 66 67 T 0 My Dad ACKNOWLEDGMENTS The author wishes to thank Dr. Jack J. Stockton, Assistant Professor of Bacteriology, for his untiring guidance of this experiment, and Catherine A. Hamilton of Grand Rapids, Michigan and Esther Narie Barrett of Kalamazoo, kichigan for typing this Thesis. Thanks are also due Nr. Richard E. Fuhrman of Kalamazoo, Michigan, for his invaluable aid in photographically reproducing the Thesis. INTRODUCTION Since the discovery of the clostridia in 1861, many types of media have been devised for their cultivation. Some of these are relatively simple, and some are rather complex. Many contain solid particles such as ground muscle or ground brain tissue. Often large amounts of unidentified proteins, such as blood serum, are added and in still other media only pure amino acids and other purified nutrients and salts are combined to produce completely synthetic media. Regardless of the various formularies of each of these individual media they are all intended to accomplish one primary goal, the propagation of anaerobic bacteria. In its own way each accomplishes this to a greater or lesser degree. Most of these media have certain good points and most of the media have at least one bad point. The purely synthetic media are expensive often to the point of being prohibitive for routine and large volume work, particularly by academic institutions. Those containing tissue particles do not produce a clear broth and in addition little or no toxin is obtained from them. Some that contain reducing agents, such as sodium thioglycollate, produce excellent anaerobic condi- tions (Reed and Orr, 1943), but they are somewhat toxic to the bacteria (Malin and Flinn, 1951). The primary problem is, however, that the anaerobic pathogens are fastidious, diffi- cult to culture and, with few exceptions, multiply rather slowly. Whereas the nonpathogenic contaminants, usually present in gas gangrene wounds, grow rapidly even in the poorer media. As a consequence, in commercial media now available, the contaminants are apt to overgrow the pathogens when one tries to isolate gas gangrene bacilli from morbid tissue. Also the propagation of cells for vaccine and bacterin production often results in rather sparse growth. With all of these facts in mind an experiment was designed to investigate the realm of new and better media and to estimate quantitatively the relative value of the existing ones. The operations and results of that experiment manifest themselves as the following thesis. HISTORICAL REVIEW Bacteria dealt with in this thesis are members of the genus Clostridium. Members of this genus are comparatively large, gram-positive, spore bearing rods that will not grow in the presence of oxygen; that is, they are anaerobic. All the species used in this experiment are pathogenic, and belong to that division of the genus lestridium designated the Gas Gangrene Group. Members of this group produce a clinical entity designated gas gangrene. The first recorded case of gas gangrene was reported by Fabricus Hildanus in 1607, Kellett (1939). The case history reads as follows: . . .the wheel of the cart tore up the whole of the inner part of the leg. The periosteum was ripped from the tibia for a palm's length. . .having washed the wound with red wine and tepid water. . .I enveloped the leg in a bandage soaked in vinegar. . .He had a restless night. On the 4th day. . .I undid the dressings and found. . . the whole of the outer part of the leg and the foot itself mortified and covered with large black vesicles containing water similar to that in which meat had been washed. . .at a certain place I could make out a sound as if there were some sort of empty space underneath. Inferring, therefore, that the disease was present under- neath in that place I began to explain. . .that amputa- tion was clearly going to prove fruitless. . .that evening a vesicle the size of an egg rose in his groin. . .and within the next two hours the scrotum became swollen the size of a head and gangrenous. At about the third hour after midnight he became covered with sweat, at first hot then cold, and he died peacefully, in the middle of a sentence, four days, eleven hours after his illness commenced. In spite of this accurate description of a typical gas gangrene case history in 1607, it remained for Pasteur and Joubert in 1877 to isolate and describe the first pathogenic anaerobic bacillus. The isolation was made from putrid sheep blood and the organism named Vibrion septique. Later Koch isolated what he considered to be Pasteur's Vibrion septigue, but he renamed it the Bacillus of Malignant Edema. These are now considered to be identical with the species now designated Clostridium ggpticum. However, Koch's culture was probably contaminated with Clostridium §porogenes, or a similar species, since Koch attributed proteolytic properties to the organism. The first adequate description of Clostridium feseri was recorded by Arloing, Cornevin, and Thomas in 1879. Welch and Nuttall (1892) first completely described a pathogenic Clostridium which they named Bacillus aerogenes capsulatus. This organism is now designated Clostridigm pgrfringens. It is the principal cause of typical gas gangrene, particularly in humans. Except for these and other rather crude isolations the field lay dormant until the World War of 1914 to 1918. During that war the incidence of gas gangrene following bullet wounds skyrocketed, and the disease became a very important military problem. This fostered considerable research in the technology of the production of anaerobic systems. The first to be successful in this were McIntosh 5 and Fildes (1916) who reported on their classic anaerobe jar. This was a heavy glass jar of about two liters capacity, with a metal cover. A tube protruded through the cover and was fitted with a hose through which hydrogen was introduced into the jar under slight pressure. An electric heating filament was hung from the cover inside the jar. This was surrounded with a platinum catalyst which in the presence of the heat from the filament caused the oxygen in the jar to combine with the introduced hydrogen to form water. This, of course, removed the oxygen in the jar and produced an anaerobic environment. Fildes and McIntosh (1921) improved their anaerobe Jar by making it more substantial and thus increased the life expectancy of the filament and palladium asbestos assembly. However, the jar still had one great disadvantage. Occasion- ally the hydrogen and oxygen would ignite so violently that an explosion resulted. This made the use of the jar rather hazardous to laboratory personnel. This type of anaerobe jar, with certain modifications, has continued to be used and today is the most commonly used method for producing anaerobiosis. A modification in the McIntosh-Fildes anaerobe jar came when Brown and Brewer (1938) proposed the use of illuminating gas instead of hydrogen. This removed the ex- plosion hazard of hydrogen and made this piece of equipment 6 usable by virtually every laboratory. However, one further modification was necessary. The illuminating gas as usually carried in gas lines was at too low a pressure to fill the jar. Consequently, it was necessary to evacuate the jar to about 50 cm of mercury pressure with a water aspirator in order to introduce sufficient gas into the jar to result in combustion. The jar was kept attached to the gas jet during the heating process, which lasted from 30 to 45 minutes. Bridges, Pepper and Chandler (1952) found that anaerobe jars, similar to the McIntosh and Fildes type, furnished excellent anaerobic conditions when evacuated to about 20 mm of mercury pressure and the volume was replaced with helium bled from commercial cylinders. This eliminated the necessity for the heating filament and platinum asbestos that had been employed when the jars were filled with hydro- gen or illuminating gas. Spray (1930) employed an oxygen absorbing system of pyrogallic acid and sodium hydroxide. The two chemicals were poured into separate depressions in the bottom of a deep bottomed Petri dish. The tOp of the dish, containing the agar, was then sealed to the bottom. The whole assembly was then tilted to allow the two chemicals to run together, the resulting chemical reaction absorbed all the oxygen in the air contained by the dish. In this way an agar plate was sealed in an anaerobic atmosphere. 7 Another means of obtaining anaerobiosis by a chemical method was advanced by Rosenthal (1937). In this technique, the cultures to be incubated were placed in a jar and five grams of powdered chromium metal was added to the jar for each liter of volume of the Jar. Then 100 ml of 15 per cent sulfuric acid was added to the jar for every liter of jar volume, and the jar was quickly sealed. At this point the chromium reacted with the acid to yield chromous sulfate and hydrogen. The chromous salt thus formed took up the oxygen in the jar and became chromic sulfate. This resulted (in an oxygen free or anaerobic environment. A.mercury trap was included in the jar so that the hydrogen could escape without developing excessive pressures. The chromium-sulfuric acid method of Rosenthal was modified by Mueller and Miller (1941). They found that Rosenthal used a great excess of both chromium and acid. They recommended smaller quantities of these materials and the addition of a small amount of sodium carbonate to the jar so that some carbon dioxide would be produced. They found that the presence of carbon dioxide resulted in better growth at least in the case of Clostridium tetani. An ingenious device for the anaerobic incubation of Petri dish cultures was devised by Marshall and Nordby (1942). This device consisted of two Petri dishes, one a standard 100 by 15 mm and the other 75 by 10 mm. A layer of agar medium.was poured into each dish. The larger dish was streaked with the anaerobic culture to be incubated. The smaller dish was streaked with a culture of Serratia marcescens and this dish inverted over the larger dish so that its edge pressed into the agar of the larger dish forming an airtight seal. This assembly was then placed in the incubator where the rapid growth of the aerobic .§° marcescens quickly removed the oxygen contained in the space between the two Petri dishes. McLeod and Gordon (1923) hypothesized that it was the presence of hydrogen peroxide, rather than oxygen, in the medium that prevented anaerobes from growing. The theory was advanced that since the clostridia, unlike most other bacteria, do not produce catalase or peroxidase there is an accumulation of hydrogen peroxide when the cells grow in the presence of oxygen. This accumulating, bacterially produced hydrogen peroxide then turns upon its creator, so to speak, and des— troys it. In the absence of oxygen the hydrogen peroxide does not accumulate in quantities which are toxic or is not produced at all. All of the anaerobic techniques develOped did not involve the use of chemical oxygen absorbing systems. Spray (1936) supported the use of a medium.made semisolid by the addition of 0.1 to 0.2 per cent agar. The medium was steamed just before use to drive off dissolved gases. The semisolid 9 nature of the medium prevented gases from the air from mixing with the medium except for the surface layer. The use of semisolid agar did not originate with Spray, however. It was first demonstrated to be useful in the cultivation of anaerobes by Pringsheim in 1910. Before this time only solid agar was used for deep tube cultivation of anaerobes. Quastell and Stephenson (1926) found that when organic reducing agents such as cysteine, glutathione, and thio- glycollic acid were added to the media, better growth resulted and the anaerobic atmOSphere surrounding the medium need not be so exacting. Brewer (1940) took up the work on organic reducing agents and found that sodium thioglycollate produced ex- cellent anaerobiosis. Unlike the thioglycollic acid that Quastell and Stephenson had used earlier, the sodium salt was heat stable and could be sterilized by autoclaving. He also found that if he added 0.05 per cent agar to the medium.the mixing of air with the medium could be greatly minimized. This allowed for the incubation of a tubed fluid medium in the open air. His results showed that the fluid medium stayed anaerobic for over a month even when not inoculated. McClung (1940) showed that Brewer's thioglycollate medium.compared favorably with commonly used and 10 commercially available media. McClung (1943b) also observed that semisolid media containing sodium thioglycollate would initiate growth of pathogenic clostridia even when the inoculum contained very few cells. He observed that the growth produced compares very favorably with that in dried beef heart medium. Reed and Orr (1943) observed that the initial Eh of semisolid media with or without sodium thiOglycollate was approximately equal, but with successive hours of incubation the media containing the thioglycollate maintained a lower or more negative Eh than that which did not contain the thioglycollate. A new and simple method for the anaerobic incubation of Petri dish cultures was introduced by Brewer (1942). This consisted of a standard 100 by 15 mm Petri dish bottom and a much heavier top. The top was constructed with a rim that rested on the periphery of the agar layer and enclosed a very narrow air space above the agar. In order to remove the oxygen from the enclosed air space Brewer's thioglycollate agar was employed; that is, the sodium thioglycollate in the agar took up the excess oxygen. Malin and Flinn (1951) found that the use of an anion exchange resin such as "duolite 8-10" in broth.media, used for the cultivation of clostridia, produced excellent growth. The resin had a very high oxygen absorbing capacity and when 11 combined with copper ions formed a reduced copper resin complex that reacted very readily with dissolved oxygen. They also stated that sodium thioglycollate was inhibitory to some clostridia in the presence of carbohydrates. Nagler (1939) observed that when a broth culture filtrate containing the alpha toxin of £1. perfringens was incubated with normal human serum, an opalescence developed in the tube. When this material was centrifuged, a fatty layer separated out on the surface. Nagler hypothesized that the alpha toxin of 91. perfringens was a lecithinase and it acted on a protein-lecithin complex in the serum to produce a fatty material. Thus, this was a test for bacterially produced lecithinase, and could be used to identify lecithinase producing bacteria. MacFarlane, Oakley, and Anderson (1941) observed that the lecithovitellin from chicken egg yolk would give the same Opalescence in the presence of the alpha toxin of 91. perfringens as was observed earlier by Nagler in blood serum. Hayward (1941, 1943) develOped an agar plating medium containing human blood serum to demonstrate the Nagler reaction in Petri dish cultures. McClung (1946) investigated the Nagler plate culture and recommended a new base agar to which egg yolk could be added. This medium consisted of four per cent proteose 12 peptone #2, 0.5 per cent disodium phOSphate, 0.1 per cent monopotassium phosphate, 0.2 per cent sodium chloride, 0.01 per cent magnesium sulfate, 0.2 per cent glucose, and 2.5 per cent agar. This was adjusted to a pH of 7.6. Continuing his work, McClung (1947), demonstrated that the Nagler plate reaction showed sufficient specificity to identify many of the Species of gas gangrene pathogens. He pointed out, however, that this test should be used as a presumptive identification rather than final proof. Robertson (1916) reported on a cooked meat medium that is still popular. The original directions for its preparation called for eight ounces of bullock's heart minced and finely ground. To this, eight ounces of tap water was added. The mixture was heated slowly and allowed to cook for approximately one hour. The material was then dispensed into test tubes and sterilized by autoclaving. This medium produced good growth and had an added value in being of diagnostic significance. That is, saccharolytic organisms, which are the pathogenic members of the genus cause a reddening of the medium. Whereas, proteolytic clostridia which are generally considered nonpathogenic, render the cooked meat black and foul smelling due to digestion of the meat. McClung (1943) recommended the use of dried beef heart tissue in the preparation of media for the cultivation 13 of the clostridia and outlined a procedure for the prepara- tion of the dried tissue. With the increasing need and desire for gas gangrene toxoid, free of proteins and peptones, Bernheimer (1944) perfected a protein and peptone free broth medium that initiated the production of large amounts of toxin by 91. septicum. This originally was an entirely synthetic medium. However, he found that a medium consisting basically of enzymatically hydrolyzed casein fortified with vitamins and some salts, most notable of which was ferric chloride, produced toxin titers equal to those of the synthetic medium. He also found that the highest toxin titers were produced concurrently with the highest cell count. Jones and Clifton (1953) in their work on the nutrition of 91. feseri found that this organism produced a mixed type of fermentation, the principal end products of which were ammonia, carbon dioxide, hydrogen, formic acid, acetic acid, butyric acid, lactic acid, and succinic acid. Ethanol and small quantities of acetone were also produced. They also found that the presence of phOSphate in glucose broth produced better growth over a wider pH range than did glucose alone. They found that this species would readily ferment glucose, pyruvic acid, and serine. Good growth occurred in a medium composed of an enzymatic digest of casein with glucose, biotin, nicotinic acid, pantothenic acid, and pyridoxamine added. However, when an acid hydrolyzate of casein was used no growth occurred. 14 METHODS AND MATERIALS All stock cultures were maintained in Difco brain heart infusion broth made semisolid by the addition of 0.2 per cent agar. The standard inoculum for the tests was prepared by inoculating three tubes of brain heart infusion broth with each of the test cultures. These were placed in a Brewer jar and the jar evacuated to a pressure of approximately 40 mm of mercury using a Welch Duo Seal vacuum pump. Illuminating gas, from a laboratory outlet, was then admitted to the jar until pressure equilibrium was attained. The jar was thus evacuated and filled five times. At the fifth addition of illuminating gas only a small amount was admitted to the jar. Rubber tubing on the jar inlet was sealed with a screw clamp and the jar placed in the incubator. An electric connection in the incubator, equipped with a time switch, was plugged into the electric connection of the Brewer jar and the heater in the jar was allowed to run for two hours, and thus removed any trace of oxygen. After incubation for 24 hours the broth cultures were removed from the jar and the cells were concentrated by centrifuging in an International Equipment Company size 2 centrifuge for 30 minutes at a R.C.F. of 1,300 X G. The supernatant broth was decanted from the packed cells and the cells were resuSpended in sterile 0.85 per cent sodium chloride. 16 This suspension was again centrifuged and decanted as above to wash the cells. Sterile saline was again added and the tubes were shaken to suspend the cells completely. This cell suspension was then dispensed in one m1 amounts into sterile 15 by 150 mm pyrex test tubes. The tubes were then plugged with nonabsorbent cotton and the excess cotton burned off down to the rims of the tubes. The tubes were sealed with parafilm. The contents of these tubes were then shell frozen by immersing the tubes in a freezing mixture of dry ice and ethanol and rotating the tubes about their long axis until freezing was complete. The tubes were transferred to the freezing compartment of the laboratory refrigerator for storage. The temperature of this freezing compartment was maintained at —10 C. The final inoculum was prepared by first determining the highest dilution of the above cell suspension that initiated growth of the organisms in brain heart infusion broth within 24 hours, except for El. feseri for which Difco AC broth was used. This was accomplished by thawing a tube of the cell suSpension of each culture at room temperature and adding nine ml of sterile 0.85 per cent saline to each tube. This brought about a 1:10 dilution of the original suspension. Next, a series of seven test tubes, each containing nine ml of sterile 0.85 per cent saline, was set up for each cell suspension. One ml of the 1:10 dilution 17 of the suSpension was transferred to the next tube and thoroughly mixed, thus producing a 1:100 dilution of the original frozen cell suSpension. This procedure was repeated for the remaining six tubes of saline. The highest dilution thus produced was 1:100,000,000. One tenth ml from each dilution was pipetted into three tubes of brain heart infusion broth. The inoculated tubes were then incubated anaerobically in the Brewer jar by the method indicated above. After 24 hours incubation the tubes were removed from the jar and examined grossly for growth. The highest dilution that showed growth at this time was selected as the proper dilution for the inoculum prepared from that particular series of frozen portions of cell suspension for the culture being tested. This procedure was carried out for all of the cultures. Normal sheep livers with all grossly visible fat removed were cut into small pieces and ground in a power meat grinder. The ground liver was then weighed and mixed with an equal weight of distilled water. This mixture was stored in the refrigerator for six hours and then was placed in an Arnold sterilizer and steamed for four hours. Next the mix- ture was removed from the steamer and the solids were fil- tered off through several thicknesses of cheese cloth. The resulting liquid was poured into three liter flasks and auto- claved at 121 C for 15 minutes. The proteins precipitated by autoclaving and the remaining meat solids were filtered off 18 through grade #541 Whatman fluted filter paper. The remaining liquid was the liver infusion used in the experiments. This infusion was used to prepare base media to which carbo- hydrates and other nutrients were later added to form varia- tions of the test media. Two principal bases were prepared, differing only in the peptone employed. One of these contained Difco proteose peptone #3 and the other contained Difco tryptose. A third base containing bacto peptone was also prepared and compared with the other bases but it was not used as a base for the media variations. For the composition of the base broths see Table l. 19 TABLE 1 COMPOSITION OF BASE MEDIA Proteose Peptone Base Sheep Liver infusion. . . . . . . . . . . . . . . . 1 liter Distilled water . . . . . . . . . . . . . . . . . . 1 liter Bacto Proteose peptone #3 . . . . . . . . . . . . . 20 grams Sodium chloride . . . . . . . . . . . . . . . . . . 10 grams Disodium hydrogen phosphate . . . . . . . . . . . . 5 grams Tryptose Base Sheep Liver infusion. . . . . . . . . . . . . . . . 1 liter Distilled water . . . . . . . . . . . . . . . . . . 1 liter Bacto Tryptose . . . . . . . . . . . . . . . . . . 20 grams Sodium chloride . . . . . . . . . . . . . . . . . . 10 grams Disodium hydrogen phosphate . . . . . . . . . . . . 5 grams Peptone Base Sheep Liver infusion. . . . . . . . . . . . . . . 200 m1 Distilled water . . . . . . . . . . . . . . . . . 200 ml Bacto Peptone . . . . . . . . . . . . . . . . . . . 4 grams Sodium chloride . . . . . . . . . . . . . . . . . . 2 grams Disodium hydrogen phosphate . . . . . . . . . . . . 1 gram Test media were prepared by adding definite quantities of certain nutrients to the bases. Composition of test media employed is given in Table 2. 20 TABLE 2 COMPOSITION OF EXPERIMENTAL MEDIA Medium 2:01:02: Tryp‘I'ose .‘LBado Isaeledw. Calm... Calcium Code 52,. Base GIucose Manes. GquatIuo asanhe Casem I‘lydrou'deGIucamfc A IOO ml _ 0.59.. _ __ __ _ __ _ TA —— IOOml 0.59m __ __ _ __ _ _ B [00ml -- —— — — — L09». ._ ._ B, [00ml _. _ ._ _ (.09m _ __ __ TB, — 100ml __ _ _ Log... _ _ __ C IOOmI —_ _ —— 20.0.,... __ __ _ __ TC — IOOrnI — — ZOO-n3 — _ _ __ D 100ml __ 0.59m _ _. _ 1.09m __ _ D, l00mI — 0.59». —- — I.Ogm ._ ._ _ TD, __ IOOmI 0.59m _ __ 1,09... _ _ _ E IOOmI — 0.59m —— I200... — __ _ __ 4 TE —- IDOmI 0.59m -— 20.0., __ _. _ __ F :00 ml —— — — 20.0.... 1.09... _ __ __ d I00 ml —— 0.59m -— —— I.09 m —— LOQm — TK —-— loo...) _ 059., _ _ __ __ __ TL — [00ml -— —- — -— -— -— 0.59m TBCK —— 100ml __ 0.59». 20.0m,./.09m __ __ _ 21 In addition to the test media listed in Table 2, the sheep liver infusion, sheep liver infusion plus 0.5 per cent sodium chloride and 0.25 per cent disodium phosphate, and the three bases were also tested. The commercial media tested were Difco AC broth, Difco thioglycollate broth, and Difco brain-heart infusion broth. All the media used were tubed in 15 x 150 mm pyrex test tubes in exactly ten ml amounts. The amount of growth in the test media was determined turbidimetrically by use of a Beckman model B spectrophoto- meter. The incubated broth was centrifuged in an Interna- tional Equipment Company size 2 centrifuge for 45 minutes at a R.C.F. of 1,300 x G. The supernatant broth was then decanted and saved. The packed cells were suspended in. sterile 0.85 per cent saline solution to which 0.3 per cent formalin had been added. This suSpension was centrifuged again as before to wash the cells. The supernatant was decanted and discarded. Following this, exactly ten ml of sterile 0.3 per cent formalinized saline were added to each tube and the cells were thoroughly and evenly suspended in the saline. One ml of this suSpension was added to nine m1 of sterile 0.3 per cent formalinized saline resulting in a 1:10 dilution. In some instances, dilutions other than 1:10 were made so that the turbidity of the resulting suspension 22 would not vary greatly from the others being tested, thus insuring greater accuracy. The Spectrophotometer was turned on and allowed to warm about one hour. Cuvettes were chosen that gave the same optical density when filled with distilled water and compared. These matching cuvettes were used in all cell count deter- minations. A standard was prepared by filling one of the cuvettes with the 0.3 per cent formalinized saline suspending medium. The spectrophotometer was fitted with a red sensitive barrier cell. A wave length of 650 mu was used for turbidimetric determination (Bernheimer, 1944). With the standard in place optical density was adjusted to zero with the slit width vernier. The standard was replaced by a sample cell suSpen- sion and the Optical density of the cell suspension was read from the meter, and the data thus obtained were recorded. This procedure was carried out for all samples tested. In order to convert optical density of the cell suSpensions to total cell counts a graph was prepared. Four cell suspensions of each species were prepared and their optical densities determined by means of the spectrophoto- meter. A portion of these cell suSpensions were diluted to give a 1:20 dilution. The number of cells in this dilution were then counted by use of the Petroff-Hauser counting chamber employing a phase contrast microscOpe. From this 23 data the total cell count of the original suspensions was calculated. Dilutions were made of each of the original suspensions so that final concentrations were 90, 75, 66.7, 50, 33.3, 25, and 10 per cent of the original. Optical density of each dilution was determined as before. Total cell count for each dilution was calculated from the cell count of the original suspensions. These data were analyzed statistically and a graph of their correlation line was plotted for each species. See Table 3 and Figures 1, 2, and 3. Test cultures used in this experiment were as follows: Clostridium.perfringens, which had been isolated from the abdominal muscle of a cow dead from gas gangrene. The isola- tion was made in the laboratories of the Department of Bacteriology and Public Health, Michigan State College. The organism fermented glucose, lactose, maltose, and sucrose with the production of acid and gas. Salicin was not fer- mented. Rapid and violent stormy fermentation in iron milk medium and liquefaction of gelatin occurred in 24 hourS. The organism was nitrite positive and indole negative and produced a wide zone of precipitation on egg yolk medium. One half ml of a 24 hour broth culture injected intramuscularly into guinea pigs killed them in 24 to 30 hours. Clostridium septicum 830 was obtained from Dr. L.S. McClung of the University of Indiana. This organism 24 fermented dextrose, lactose, maltose, and salicin with the production of acid and gas. Sucrose was not fermented. Gelatin was liquefied and hydrogen sulfide was produced. The organism was indole negative and nitrite positive and pro— duced no zone of precipitation on egg yolk medium. One half ml of a 24 hour broth culture injected intramuscularly into guinea pigs killed them in 20 to 26 hours. Autopsy revealed considerable swelling and bloody edema near the sight of injection, the abdomen appeared green and the abdominal hair slipped easily. Microscopic examination of material from the liver surface showed bacilli in characteristic long filamentous strands. Clostridium feseri was obtained from the Corn States Serum Company, Omaha, Nebraska, courtesy of Dr. Earl M. Baldwin. The organism fermented dextrose, lactose, maltose, and sucrose but did not ferment salicin. There was no reaction in iron milk, and on egg yolk medium the colonies were pearlescent with little or no zone of precipitation extending beyond the colony. The organism was indole negative and nitrite positive. Gelatin was slowly liquefied and hydrogen sulfide was produced. Injection of 0.5 m1 of a 24 hour broth culture intramuscularly into guinea pigs killed in 30 to 50 hours. TABLE 3 COMPARISON OF OPTICAL DENSITY TO CELL COUNT CLOSTRIDIUM PERFRINGENS Medium Percent Concentration of Cell Suspension 100% 90% 75% 66.7% 50% 33.3% 25% 10% g Optical 0.390 0.370 0.315 0.278 0.200 0.142 0.105 0.048 Density Cell 98.0 88.2 73.5 65.2 49.0 32.6 24.5 9.8 Count * g Optical 0.330 0.300 0.250 0.222 0.170 0.115 0.080 0.035 Density Cell 83.0 74.7 62.1 55.2 41.5 27.6 20.7 8.3 Count * 9 Optical 0.420 0.370 0.310 0.273 0.220 0.145 0.115 0.052 Density Cell 108.0 98.1 81.0 72.0 54.0 36.0 27.0 10.8 Count * D Optical 0.575 0.520 0.426 0.380 0.290 0.193 0.147 0.060 - Density Cell 142.0 127.8 106.5 94.6 71.0 47.3 35.5 14.2 Count 4 Medium 5: proteose peptone base plus 0.5 percent glucose and one percent Bacto Casitone, incubated 24 hours at 37 0. Medium 8: tryptose base plus 0.5 percent glucose, incubated 24 hours at 37 0. Medium 0: proteose peptone base plus one percent Bacto — Casitone, incubated 48 hours at 37 0. Medium 2: Difco Brain Heart Infusion broth, incubated 48 hours at 37 C. * Cell count in millions. 26 Figure 1. Correlation graph to convert optical density of El. perfringens cell suspensions to total cell count. Dots represent observed optical densities for suspensions of known cell count. Statistically calculated values for plotting the correlation line were: Cell Count Optical Density 20,000,000/m1 0.088 40,000,000/m1 0.166 60,000,000/m1 0.244 100,000,000/m1 0.400 IQCDM \ choc 1 0.4.3 . \ 9.36 pwhc \\ JW/ .\0 5 Smoo m . \ D _ \ 9036 \q d \\ .c .mlbpoo o \ 0.3.0 \ 6.86 \\ \ 9&0 K 3 ”o an «o «.0 we we no we .66 to EB Re 3.6 is 00: 0023+ ..: 3..=~.o:u\3~ TABLE 4 COMPARISON OF OPTICAL DENSITY TO CELL COUNT CLOSTRIDIUM SEPTICUM 28 Medium Percent Concentration of Cell SuSpension 100% 90% 75% 66.7% 50% 33.3% 25% 10% A Optical 0.310 0.280 0.231 0.203 0.148 0.105 0.075 0.032 Density Cell 188.0 169.0 141.0 124.0 94.0 62.0 47.0 18.8 Count 4 g Optical 0.370 0.335 0.280 0.250 0.190 0.127 0.097 0.038 Density Cell 236.0 212.0 177.0 157.0 118.0 78.7 59.0 23.6 Count * 9 Optical 0.240 0.220 0.185 0.163 0.120 0.083 0.057 0.025 Density Cell 146.0 131.0 109.0 97.4 73.0 48.8 36.5 14.6 Count * 2, Optical 0.410 0.377 0.305 0.280 0.210 0.144 0.108 0.045 Density 1 Cell 252.0 227.0 189.0 168.0 126.0 84.2 63.0 25.2 Count * Medium 5; Difco AC broth, incubated 24 hours at 37 C. Medium g: proteose peptone base plus 0.02 percent gluta- thione, incubated 24 hours at 37 0. Medium 2: proteose peptone base, incubated 48 hours at 37 C. Medium 2; tryptose base plus 0.5 percent maltose, incubated 48 hours at 37 C. 4 Cell counts in millions. 29 Figure 2. Correlation graph to convert optical density of Cl. septicum 830 cell suspensions to total cell count per m1. Dots represent observed optical densities for suspensions of known cell count. Statistically calculated values for plotting the correlation line were: Cell Count Optical Density 50,000,000/m1 0.084 100,000,000/m1 0.164 150,000,000/m1 0.244 200,000,000/m1 0.323 IQCEm m mo .3 2 an ‘8 Be is So ‘3 ~66 Om: 005.1. 3 3.3.6:... \31 Nuo ~50 Moo who «so CONPARISCN OF TABLE 5 CLCSTRIDIUM FESERI OPTICAL DENSITY TO CELL COUNT 31 Medium Percent Concentration of Cell Suspension 100% 90% 75% 66.7% 50% 33.3% 25% 10% A Optical 0.295 -—- ——- -—— 0.155 ——- 0.080 0.035 Density Cell 300.0 —— ——— ——— 150.0 -—- 75.0 30.0 Count * 2 Optical r 0.325 0.300 0.250 0.223 0.178 0.116 0.090 0.030 Density Cell 350.0 315.0 262.0 233.0 175.0 117.0 87.0 35.0 Count 4 g Optical 0.280 0.265 0.225 0.200 0.155 0.106 0.078 0.035 Density Cell 300.0 270.0 225.0 200.0 150.0 100.0 75.0 30.0 Count 4 2 Optical 0.475 0.425 0.363 0.323 0.250 0.172 0.135 0.055 Density Cell 540.0 486.0 450.0 360.0 270.0 180.0 135.0 54.0 Count 4 Medium A: proteose peptone base plus one percent Bacto Casitone, incubated 24 hours at 37 C. Medium B: tryptose base, incubated 24 hours at 37 C. Medium 9: proteose peptone base plus 0.5 percent glucose Medium.2: * Cell and 0.02 percent glutathione, incubated 48 hours at 37 C. Difco AC broth, incubated 48 hours at 37 0. count in millions. 32 Figure 3. Correlation graph to convert optical density of EA. feseri #6 cell suspensions to total cell count per ml. Dots represent observed optical densities for suspensions of known cell count. Statistically calculated values for plotting the correlation line were: Cell Count Optical Density 75,000,000 0.080 175,000,000 0.169 275,000,000 0.254 0.370 400,000,000 0 O.u..oo 0.40.0 9.460 p 5 '1‘ al DeonSI _y ‘3’ Immcmm w Pfic 09%» d \.\ 0.80 \\ Pad \\ 6.80 \ \o\ 0.8....» o «0 mo 30 :0 moo ~40 Nmo Mme m8 .400 $8 {me “No «.8 moo 00: 0023+ .5 2.._:o:m\=i 34 RESULTS Results of this experiment were essentially numerical and thus best presented by the tables and graphs that follow. However, it should be stated here that in making up media it was found that those media that contained isoelectric casein, developed a heavy, flocculent, white precipitate after incubation with bacteria. This precipitate obviously made these media useless for turbidimetric cell counts. As a result, Bacto Casitone was substituted for casein and further trouble from this source was allayed. However, precipitation from other sources did occur. Addition of calcium hydroxide resulted in the formation of a dense pale yellow precipitate. A similar precipitate formed when calcium hydroxide was added to sheep liver infusion alone. The presence of calcium gluconate was coincidental with the formation of a pale yellowish precipitate above a pH of 6.2 or after incubation. 35 TABLE 6 EXPERIMENTAL DATA FROM 24 HOUR CULTURES OF 9A. PERFRINGENS Medium Dilu- Optical Cell Count/m1 tion‘e Density Liver Infusion 1:10 0.190 450,000,000 1:10 0.172 410,000,000 1:10 0.155 370,000,000 Liver Infusion plus 0.5 1:10 0.265 645,000,000 percent NaCl, and 0.25 1:10 0.245 600,000,000 percent Na2HPO4 1:10 0.230 575,000,000 Proteose Peptone Base 1:10 0.410 1,020,000,000 1:10 0.390 970,000,000 1:10 0.385 960,000,000 Tryptose Base 1:10 0.450 1,120,000,000 1:10 0.430 1,070,000,000 1:10 0.420 1,050,000,000 Peptone Base 1:10 0.430 1,070,000,000 1:10 0.420 1,050,000,000 1:10 0.400 1,000,000,000 Proteose Peptone Base 1:10 0.415 1,040,000,000 plus 0.5 percent glucose 1:10 0.415 1,040,000,000 1:10 0.402 1,010,000,000 Tryptose Base plus 0.5 1:10 0.375 925,000,000 percent glucose 1:10 0.360 900,000,000 1:10 0.350 870,000,000i * For adjustment of turbidity (See Page 20.) TABLE 6 (Continued) 36 Medium ' Dilu- Optical Cell Count/m1 tion Density Proteose Peptone Base 1:10 0.435 1,095,000,000 plus 1.0 percent Bacto 1:10 0.425 1,060,000,000 Casitone 1:10 0.402 1,010,000,000 Tryptose Base plus 1.0 1:10 0.362 910,000,000 percent Bacto Casitone 1:10 0.360 900,000,000 1:10 0.340 850,000,000 Protoose Peptone Base 1:10 0.380 950,000,000 plus 0.02 percent 1:10 0.355 890,000,000 glutathione 1:10 0.320 800,000,000 Tryptose Base plus 0.02 1:10 0.350 870,000,000 percent glutathione 1:10 0.320 800,000,000 1:10 0.312 780,000,000 Proteose Peptone Base 1:10 0.420 1,050,000,000 plus 1.0 percent Casitone 1:10 0.400 1,000,000,000 and 0.5 percent glucose 1:10 0.395 990,000,000 Tryptose Base plus 1.0 1:10 0.405 1,015,000,000 percent Bacto Casitone 1:10 0.390 970,000,000 and 0.5 percent glucose 1:10 0.380 955,000,000 Proteose Peptone Base 1:10 0.470 1,180,000,000 plus 0.5 percent glucose 1:10 0.425 1,060,000,000 and 0.02 percent glutathione 1:10 0.420 1,050,000,000 TABLE 6 (Continued) 37 Medium Dilu- Optical Cell Count/m1 tion Density Tryptose Base plus 0.5 1:10 0.455 1,145,000,000 percent glucose and 0.02 1:10 0.430 1,070,000,000 percent glutathione 1:10 0.425 1,060,000,000 Proteose Peptone Base 1:10 0.425 1,060,000,000 plus 1.0 percent Bacto Casitone and 0.02 1:10 0.400 1,000,000,000 percent glutathione 1:10 0.395 990,000,000 Tryptose Base plus 0.5 1:10 0.440 1,110,000,000 percent maltose 1:10 0.430 1,070,000,000 1:10 0.412 1,030,000,000 Tryptose Base plus 1.0 1:10 0.490 1,225,000,000 percent Bacto Casitone, 0.5 percent maltose and 1:10 0.470 1,180,000,000 0.02 percent glutathione 1:10 0.425 1,145,000,000 Difco AC broth 1:10 0.360 900,000,000 1:10 0.350 870,000,000 1:10 0.350 870,000,000 Difco Brain Heart 1:10 0.155 370,000,000 Infusion broth 1:10 0.132 315,000,000 1:10 0.096 220,000,000 Difco Thioglycollate 1:10 0.310 770,000,000 broth 1:10 0.300 740,000,000 1:10 0.293 726,000,000 38 TABLE 7 EXPERIMENTAL DATA FROM 48 HOUR CULTURES OF 9A. PERFRINGENS Medium. Dilu- Optical 1 Cell Count/ml tion Density Liver Infusion I:10 0.155 370,000,000 1:10 0.150 360,000,000 1:10 0.150 360,000,000 Liver Infusion plus 0.5 1:10 0.210 510,000,000 percent NaCl and 0.25 1:10 0.210 510,000,000 percent NaZHPO4 1:10 0.200 483,000,000 Proteose Peptone Base 1:10 0.340 850,000,000 1:10 0.320 800,000,000 1:10 0.303 750,000,000 Tryptose Base 1:10 0.390 970,000,000 1:10 0.340 850,000,000 1:10 0.330 830,000,000 Peptone Base 1:10 0.375 940,000,000 1:10 0.360 900,000,000 1:10 0.345 860,000,000 Proteose Peptone Base 1:10 0.360 900,000,000 plus 0.5 percent glucose 1:10 0.340 850,000,000 1:10 0.330 830,000,000 Tryptose Base plus 0.5 1:10 0.320 800,000,000 percent glucose 1:10 0.320 800,000,000 1:10 0.310 770,000,000 39 TABLE 7 (Continued) Medium Dilu- Optical Cell Count/ml tion Density Proteose Peptone Base 1:10 0.430 1,070,000,000 plus 1.0 percent Bacto 1:10 0.420 1,050,000,000 Casitone 1:10 0.415 1,040,000,000 Tryptose Base plus 1.0 1:10 0.325 810,000,000 percent Bacto Casitone 1:10 0.320 800,000,000 1:10 0.310 770,000,000 Proteose Peptone Base 1:10 0.375 925,000,000 plus 0.02 percent 1:10 0.360 900,000,000 glutathione 1:10 0.320 800,000,000 Tryptose Base plus 0.02 1:10 0.340 850,000,000 percent glutathione 1:10 0.325 810,000,000 1:10 0.315 790,000,000 Proteose Peptone Base 1:10 0.390 970,000,000' plus 1.0 percent Casitone 1:10 0.360 900,000,000 and 0.5 percent glucose 1:10 0.300 740,000,000 Tryptose Base plus 1.0 1:10 0.380 955,000,000 percent Bacto Casitone, 1:10 0.370 920,000,000 and 0.5 percent glucose 1:10 0.355 880,000,000 Proteose Peptone Base 1:10 0.375 925,000,000 plus 0.5 percent glucose and 0.02 percent 1:10 0.360 900,000,000 glutathione 1:10 0.355 890,000,000 TABLE 7 (Continued) 40 Medium Dilu- Optical 0611 Count/m1 tion Density Tryptose Base plus 0.5 1:10 0.360 900,000,000 percent glucose, and 0.02 1:10 0.340 850,000,000 percent glutathione 1:10 0.336 840,000,000 Proteose Peptone Base 1:10 0.390 970,000,000 plus 1.0 percent Bacto Casitone, and 0.02 1:10 0.380 955,000,000 percent glutathione 1:10 0.375 925,000,000 Tryptose Base plus 0.5 1:10 0.380 955,000,000 percent maltose 1:10 0.360 900,000,000 1:10 0.350 870,000,000 Tryptose Base plus 1.0 1:10 0.445 1,115,000,000 percent Bacto Casitone, 0.5 percent maltose, and 1:10 0.440 1,110,000,000 0.02 percent glutathione 1:10 0.415 1,040,000,000 Difco AC broth 1:10 0.395 990,000,000 1:10 0.350 870,000,000 1:10 0.347 865,000,000 Difco Brain Heart 1:10 0.148 356,000,000 Infusion broth 1:10 0.115 260,000,000 1:10 0.082 183,000,000 Difco Thioglycollate 1:10 0.320 800,000,000 broth 1:10 0.310 770,000,000 1:10 0.310 770,000,000 41 TABLE 8 EXPERIMENTAL DATA FROM 24 HOUR CULTURES OF EA. SEPTICUM 830 Medium Dilu- ) Optical ' Cell Count/ml tion Density Liver Infusion 1:5 0.205 630,000,000 1:5 0.180 550,000,000 1:5 0.170 520,000,000 Liver Infusion plus 0.5 1:10 0.147 900,000,000 percent NaCl, and 0.25 1310 0.130 800,000,000 percent NaQHPO4 1:10 0.125 760,000,000 Proteose Peptone Base 1:10 0.295 1,820,000,000 1:10 0.290 1,800,000,000 1:10 0.275 1,690,000,000 Tryptose Base 1:10 0.297 1,840,000,000 1:10 0.265 1,630,000,000 1:10 0.244 1,500,000,000 Peptone Base 1:10 0.296 1,830,000,000 1:10 0.275 1,690,000,000 1:10 0.260 1,610,000,000 Proteose Peptone Base 1:10 0.200 1,230,000,000 plus 0.5 percent glucose 1:10 0.175 1,080,000,000 1:10 0.165 1,010,000,000 Tryptose Base plus 0.5 1:10 0.175 1,080,000,000 percent glucose 1:10 0.155 930,000,000 1:10 0.144 860,000,000 TABLE 8 (Continued) 42 Medium Dilu- Optical 0611 Count/m1 tion Density Proteose Peptone Base 1:10 0.263 1,630,000,000 plus one percent Bacto 1:10 0.247 1,530,000,000 Casitone 1:10 0.240 1,480,000,000 Tryptose Base plus one 1:10 0.258 1,600,000,000 percent Bacto Casitone 1:10 0.250 1,540,000,000 1:10 0.225 1,400,000,000 Proteose Peptone Base 1:10 0.147 900,000,000 plus 0.02 percent 1:10 0.145 890,000,000 glutathione 1:10 0.145 890,000,000 Tryptose Base plus 0.02 1:10 0.144 860,000,000 percent glutathione 1:10 0.132 810,000,000 1:10 0.130 800,000,000 Proteose Peptone Base 1:10 0.254 1,560,000,000 plus one percent Casitone 1:10 0.245 1,520,000,000 and 0.5 percent glucose 1:10 0.240 1,480,000,000 Tryptose Base plus one 1:10 0.244 1,500,000,000 percent Bacto Casitone 1:10 0.240 1,480,000,000 and 0.5 percent glucose 1:10 0.223 1,380,000,000 Proteose Peptone Base 1:5 0.230 715,000,000 plus 0.5 percent glucose and 0.02 percent 1:5 0.225 700,000,000 glutathione 1:5 0.210 640,000,000 TABLE 8 (Continued) 43 Medium Dilu- Optical Cell Count/ml tion Density Tryptose Base plus 0.5 1:10 0.112 680,000,000 percent glucose and 0.02 1:10 0.105 630,000,000 percent glutathione 1:10 0.092 560,000,000 Proteose Peptone Base 1:10 0.215 1,320,000,000 plus one percent Bacto Casitone and 0.02 1:10 0.200 1,230,000,000 percent glutathione 1:10 0.195 1,200,000,000 Tryptose Base plus 0.5 1:10 0.290 1,800,000,000 percent maltose 1:10 0.285 1,740,000,000 1:10 0.248 1,530,000,000 Tryptose Base plus one 1:10 0.275 1,680,000,000 percent Bacto Casitone, 0.5 percent maltose and 1:10 0.270 1,650,000,000 0.02 percent glutathione 1:10 0.254 1,560,000,000 Difco AC broth 1:10 0.173 1,060,000,000 1:10 0.160 970,000,000 1:10 0.155 930,000,000 Difco Brain Heart 1:10 0.084 510,000,000 Infusion broth 1:10 0.080 490,000,000 1:10 0.065 400,000,000 Difco Thioglycollate 1:10 0.147 900,000,000 broth 1:10 0.145 870,000,000 1:10 0.140 850,000,000 44 TABLE 9 EXPERIMENTAL DATA FROM 48 HOUR CULTURES OF EL. SEPTICUM 830 Dilu- Medium Optical Cell Count/m1 tion Density Liver Infusion 1:5 0.065 200,000,000 1:5 0.050 145,000,000 1:5 0.044 130,000,000 Liver Infusion plus 0.5 1:5 0.092 280,000,000 percent NaCl, and 0.25 1:5 0.083 250,000,000 percent Na2HP04 1:5 0.065 200,000,000 Proteose Peptone Base 1:10 0.245 1,520,000,000 1:10 0.230 1,430,000,000 1:10 0.223 1,380,000,000 Tryptose Base 1:10 0.250 1,540,000,000 1:10 0.235 1,440,000,000 1:10 0.220 1,340,000,000 Peptone Base 1:10 0.244 1,500,000,000 1:10 0.225 1,400,000,000 1:10 0.222 1,360,000,000 Proteose Peptone Base 1:10 0.253 1,560,000,000 plus 0.5 percent glucose 1:10 0.250 1,540,000,000 1:10 0.225 1,400,000,000 Tryptose Base plus 0.5 1:10 0.240 1,480,000,000 percent glucose 1:10 0.230 1,430,000,000 1:10 0.220 1,340,000,000 45 TABLE 9 (Continued) Medium Dilu— Optical 0611 Count/m1 tion Density Proteose Peptone Base 1:10 0.250 1,540,000,000 plus one percent Bacto 1:10 0.247 1,530,000,000 Casitone 1:10 0.245 1,520,000,000 Tryptose Base plus one 1:10 0.240 1,480,000,000 percent Bacto Casitone 1:10 0.230 1,430,000,000 1:10 0.223 1,380,000,000 Proteose Peptone Base 1:10 0.245 1,520,000,000 plus 0.02 percent 1:10 0.240 1,480,000,000 glutathione 1:10 0.230 1,430,000,000 Tryptose Base plus 0.02 1:10 0.237 1,460,000,000 percent glutathione 1:10 0.225 1,400,000,000 1:10 0.215 1,320,000,000 Proteose Peptone Base 1:10 0.270 1,650,000,000 plus one percent Casitone 1:10 0.245 1,520,000,000 and 0.5 percent glucose 1:10 0.240 1,480,000,000 Tryptose Base plus one 1:10 0.262 1,620,000,000 percent Bacto Casitone, 1:10 0.250 1,540,000,000 and 0.5 percent glucose 1:10 0.237 1,460,000,000 Proteose Peptone Base 1:10 0.200 1,230,000,000 plus 0.5 percent glucose and 0.02 percent 1:10 0.190 1,160,000,000 glutathione 1:10 0.178 1,100,000,000 46 TABLE 9 (Continued) Medium Dilu— Optical Cell Count/m1 tion Density Tryptose Base plus 0.5 1:10 0.195 1,200,000,000 percent glucose and 0.02 1:10 0.187 1,140,000,000‘ percent glutathione 1:10 0.175 1,080,000,000 Proteose Peptone Base 1:10 0.256 1,580,000,000 plus one percent Bacto Casitone, and 0.02 1:10 0.250 1,540,000,000 percent glutathione 1:10 0.244 1,500,000,000 Tryptose Base plus 0.5 1:10 0.320 1,950,000,000 percent maltose 1:10 0.305 1,860,000,000 1:10 0.275 1,690,000,000 Tryptose Base plus one 1:10 0.325 1,980,000,000 percent Bacto Casitone, 0.5 percent maltose, and 1:10 0.315 1,940,000,000 0.02 percent glutathione 1:10 0.285 1,760,000,000 Difco AC broth 1:10 0.198 1,220,000,000 1:10 0.160 970,000,000 1:10 0.155 930,000,000 Difco Brain Heart 1:10 0.055 330,000,000 Infusion broth 1:10 0.053 310,000,000 1:10 0.053 310,000,000 Difco Thioglycollate 1:10 0.128 790,000,000 broth 1:10 0.115 690,000,000 1:10 0.104 630,000,000 EXPERIMENTAL DATA FROM 24 TABLE 10 47 HOUR CULTURES 0F CE. FESERI #6 0.11 Count/m1 Medium Dilu- Optical tion Density Liver Infusion nene 0.080 75,000,000 none 0.077 73,000,000 none 0.057 50,000,000 Liver Infusion plus 0.5 none 0.212 225,000,000 percent NaCl, and 0.25 none 0.195 205,000,000 percent Na2HPO4 none 0.164 170,000,000 Proteose Peptone Base 1:5 0.155 790,000,000 1:5 0.140 715,000,000 1:5 0.132 680,000,000 Tryptose Base 1:5 0.178 875,000,000‘ 1:5 0.150 770,000,000 1:5 0.120 600,000,000 Peptone Base 1:5 0.133 685,000,000 1:5 0.132 680,000,000 1:5 0.132 680,000,000 Proteose Peptone Base 1:2 0.190 400,000,000 plus 0.5 percent glucose 1:2 0.167 344,000,000 1:2 0.160 325,000,000 Tryptose Base plus 0.5 none 0.297 320,000,000 percent glucose none 0.285 306,000,000 none 0.280 300,000,000 TABLE 10 (Continued) 48 Medium Dilu- Optical Cell Count/m1 tion Density Proteose Peptone Base 1:2 0.295 634,000,000 plus one percent Bacto 1:2 0.282 606,000,000 Casitone 1:2 0.265 570,000,000 Tryptose Base plus one 1:2 0.309 780,000,000 percent Bacto Casitone 1:2 0.260 558,000,000 1:2 0.257 550,000,000 Proteose Peptone Base 1:5 0.245 1,310,000,000 plus 0.02 percent 1:5 0.230 1,230,000,000 glutathione 1:5 0.225 1,190,000,000 Tryptose Base plus 0.02 1:5 0.230 1,230,000,000 percent glutathione 1:5 0.224 1,180,000,000 1:5 0.200 1,060,000,000 Proteose Peptone Base none 0.395 430,000,000 plus one percent Casitone none 0.335 362,000,000 and 0.5 percent glucose none 0.294 315,000,000 Tryptose Base plus one 1:2 0.217 460,000,000 percent Bacto Casitone, 1:2 0.185 388,000,000 and 0.5 percent glucose 1:2 0.155 320,000,000 Proteose Peptone Base 1:2 0.190 400,000,000 plus 0.5 percent glucose and 0.02 percent 1:2 0.173 360,000,000 glutathione 1:2 0.155 320,000,000 TABLE 10 (Continued) 49 Medium Dilu- Optical r Cell Count/ml tion Density Tryptose Base plus 0.5 1:2 0.190 400,000,000 percent glucose, and 0.02 1:2 0.165 344,000,000 percent glutathione 1:2 0.150 310,000,000 Proteose Peptone Base 1:5 0.225 1,200,000,000 plus one percent Bacto Casitone, and 0.02 1:5 0.210 1,110,000,000 percent glutathione 1:5 0.205 1,085,000,000 Tryptose Base plus 0.5 1:5 0.145 755,000,000 percent maltose 1:5 0.125 715,000,000 1:5 0.118 598,000,000 Tryptose Base plus one 1:5 0.188 985,000,000 percent Bacto Casitone, 0.5 percent maltose, and 1:5 0.174 910,000,000 0.02 percent glutathione . 1:5 0.160 825,000,000 Difco AC broth 1:5 0.112 550,000,000 1:5 0.110 540,000,000 1:5 0.108 530,000,000 Difco Brain Heart none 0.190 200,000,000 Infusion broth none 0.145 149,000,000 none 0.125 125,000,000 Difco Thioglycollate 1:5 0.136 690,000,000 broth 1:5 0.135 685,000,000 1:5 0.135 685,000,000 TABLE 11 50 EXPERIMENTAL DATA FROM 48 HOUR CULTURES 0F 99. FESERI #6 r D1111- Medium. r Optical Cell Count/m1 tion Density Liver Infusion none 0.110 110,000,000 none 0.095 92,000,000 none 0.093 90,000,000 Liver Infusion plus 0.5 none 0.190 200,000,000 percent NaCl, and 0.25 none 0.175 183,000,000 percent NagHPO4 none 0.167 175,000,000 Proteose Peptone Base 1:5 0.160 820,000,000 1:5 0.155 790,000,000 1:5 0.125 630,000,000 Tryptose Base 1:2 0.340 736,000,000 1:2 0.335 725,000,000 1:2 0.330 715,000,000 Peptone Base 1:5 0.190 1,000,000,000 1:5 0.187 990,000,000 1:5 0.185 975,000,000 Proteose Peptone Base none 0.297 320,000,000 plus 0.5 percent glucose none 0.245 261,000,000 none 0.230 245,000,000 Tryptose Base plus 0.5 a... 0.175 180,000,000 percent glucose none 0.163 170,000,000 none 0.145 150,000,000 51 TABLE 11 (Continued) Medium Dilu— Optical Cell Count/m1 tion Density Proteose Peptone Base 1:10 0.205 2,170,000,000 plus one percent Bacto 1:10 0.197 2,070,000,000 Casitone 1:10 0.184 1,920,000,000 Tryptose Base plus one 1:5 0.270 1,450,000,000 percent Bacto Casitone 1:5 0.260 1,360,000,000 1:5 0.247 1,325,000,000 Proteose Peptone Base 1:5 0.302 1,625,000,000 plus 0.02 percent 1:5 0.275 1,475,000,000 glutathione 1:5 0.250 1,340,000,000‘ Tryptose Base plus 0.02 1:5 0.253 1,345,000,000 percent glutathione 1:5 0.230 1,220,000,000 1:5 0.225 1,200,000,000 Proteose Peptone Base 1:5 0.172 900,000,000 plus one percent Casitone 1:5 0.153 785,000,000 and 0.5 percent glucose 1:5 0.142 720,000,000 Tryptose Base plus one 1:5 0.155 790,000,000 percent Bacto Casitone, 1:5 0.140 715,000,000 and 0.5 percent glucose 1:5 0.133 680,000,000 Proteose Peptone Base none 0.280 300,000,000 plus 0.5 percent glucose and 0.02 percent none 0.277 298,000,000 glutathione none 0.275 295,000,00 TABLE 11 (Continued) 52 . Dilu- Medium 1 Optical 4 Cell Count/m1 tion Density Tryptose Base plus 0.5 none 0.230 245,000,000 percent glucose and 0.02 none 0.220 233,000,000 percent glutathione none 0.190 200,000,000 Proteose Peptone Base 1:10 0.208 2,200,000,000 plus one percent Bacto Casitone, and 0.02 1:10 0.190 2,000,000,000 percent glutathione . 1:10 0.187 1,945,000,000 Tryptose Base plus 0.5 1:5 0.142 725,000,000 percent maltose 1:5 0.135 680,000,000 1:5 0.132 660,000,000 Tryptose Base plus one 1:5 0.260 1,360,000,000 percent Bacto Casitone, 0.5 percent maltose, and 1:5 0.252 1,340,000,000 0.02 percent glutathione 1:5 0.222 1,180,000,000 Difco AC broth 1:2 0.265 570,000,000 1:2 0.235 500,000,000 1:2 0.200 420,000,000 Difco Brain Heart none 0.230 245,000,000 Infusion broth none 0.180 188,000,000 none 0.172 180,000,000 Difco Thioglycollate 1:5 0.142 725,000,000 broth 1:5 0.138 700,000,000 1:5 0.133 670,000,000 53 Figure 4. Graph showing cell count per m1 of broth for 24 hour cultures of 9A. perfringens in each of the experi- mental media. Composition of media is obtained by noting check marks in media constituent columns on the left side of graph. Figure 5 is similarily constructed and indicates cell counts of 48 hour cultures of 9A. perfringens. Values for El. septicum 830 and EA. feseri #6 are indicated in Figures 6, 7, 8, and 9. Emcmm t . 631... a. 0.: oops: i. E. Elfin? E :2... 0:12... Wee/MM am +m am « 4n.“ g 30 W1 A M 4 P E: m «e. .n e o 3 0 Emma ~. u a mm + a...“ m am 5...... a... 9313:... .m M” m. m...“ .mm mm. mm mm at L x. mm.“ m rep 0. 0. mm mm. 9...: 88:; i: 2383\i x... 8 amt.-m.a%.c.c%%aa. ///A /// I, fix I. x x //,////j//// H / x /HWx///,7///zz//W//747// x ////7/// ////AVA////////fl 1 x x /////////,A,//////7//1/// ,/ /////A///////A/ / x x x V/M/ )/// ///H /W///H ,1 x x f/V/mV/////,////7//// // x x 7M//7//7////A7//7/// x x //x /7/M//1//fl//%%, x x x x VMNu/M/MV/H/HQVA I V j A x x x OVAW/N/MAW/fl/WMV x x x 7////%7////flV////ZW/m x x x x 7477/74, ///7//7/NA//A X X H H V/H/MVHVMV/M/H/Ayfly/W , 01.20 >0 “0.6:.— W//AV/fl//W/flf///VM.VH//AV ///1/ Dmmob Dnsmaurnlnk rampage: T21...— %//I / / / LUTmmo firnem¢no=a*m Twer. 7 f / W 17 fl waq =+vn°°ilé°wl ow, wwq uogsniul laeeq-ugoAa °°$9CL Liver I nFuslon LIVGV MVusiou «a 05% NaCJ, a n O. 25' 70 N41 "P09 ROEOSC‘P'P‘“: Base Tr *0 Se Gage was 3v Mm per—via ne Gas 8 0.5 PerCEnf S'Ucose O. 5’ Percent ms Hose X One pd rev nf Bacto Ca 86"“ c3 («faflu'ene V® x\ \\\\ \ g\\ .\ S\ \\\ \\ \\\ &V\\&\\\\ X V\\\\.\\\\ X \\ \ \ \\\‘x\\\\\\\\ X x x \ k\\ \ V \\\:\\\\\\x\\\\V\\\ x \\\\\x\ \ \\V \ \\ \V\\\\.\\ \\ \V \ @\\\\\\\\ \\ \\ loo 200 we 8:? O )m/suo,mw U! iunog ”83 a" 6“ 0 70° 8“ o B? a I. ’00 #4003 ”30 +38m0“) pub “0'15!" waamiaq aBubH [.200 5 38091:! SQADHHD 4170/.) 8,7 "W0! )5 go siunog ”93 i" 1401649 X XX XXXX X XX X X 'ver In‘usion uflen S or 0-6'% MCI, and Prof e ese- pepfene q Tryptose Base 733 p+0n Q a 0.5 Percenf QIMCOSQ 0.5' percehf maltose one perceuf Bede Cafifm 0.0 2 ereeef‘ gluquhiane I00 200 '. o of. 0 Q n 2 3 4. ;. 3 6. 3 M \ 3 {"0031133 1830101 pun {9805.44 Haemaa eEunH 75 40 Hume use 4° dee 5) 3809M Ioeg lunfiudes seam/no WH 42 X IVCV lnf’uSIOh ver ”flunk a: X 0.5% NdCI,a J 0.25% feese~ Base Tr ypfos 8 Bus 8 p‘f‘one Base 0.5' fierceni glucose 0.5'rercen1" ma #ose one percenf Bacto Casi+°he 0.02 person? 9 lufafhicmc I00 (1 1 ('3 o C 5.. 5. 3 5' 3 M ”83 ,semoy pu o 499‘15.’H uoempg 85993 4.147501) 1. 38091;! ”Ammo m°H 8h beam-T5 4° Mums M°O 4° Hdwe X X iver In‘uSION VOr n 0-$°7.NaCI, and 0025’7. Na 6059 13qu he Ba se Trypfose GSE Pepfone Base 0.5' Percen glucose 0.5 Part enf MaH'ose One percen ad’o €065me 0.02 glu (do 200 300 10° 6‘00 600 700 .r; suosmw u! wn°0 Mao evcen‘f' “Home “33 4380101 pub lsausyH ueamieg ab’uoa @ lunog '9. ms. 1‘5 remain: 5° Hams 8 38091:! semimg amoH [,3 .JAIUA +4 4 .5." >< x X (Yer Infusim‘ ver n uswn )0 us 0.5%.ng cm. 0.2 Tease-pep? $6 Tr fose 855.. Pep’ro he Base 05 percen‘t glucose 0.5 percen+ deese one percenf Bacto Casifone 0.02 per-c en‘f g/ufodhione I00 A -E 00 I O C V O C + C S' (D U1 Got 88 0 Q : n O C 3 ~4- 3. .3. a. 3 (fl \ 3 lunog "93 issm01 pun lsaqbyH ueomlea 9!:an — ”21¢ Mesa} 1:) ioe+u°°0 H93 404 We 6 3809.11 60 DISCUSSION Results obtained from the addition of isoelectric casein to the experimental media were rather interesting. In all probability, acid produced by the growing organisms lowered the pH of the medium sufficiently to precipitate casein. A strong support for this hypothesis lies in the fact that addition of small amounts of hydrochloric acid to media containing casein brought about a similar precipita- tion. The precipitate that formed When calcium hydroxide was added to counteract the acid appeared different and was formed even in the absence of casein. Calcium gluconate when added to media with a pH above 6.2 produced a precipitate with an appearance identical with that produced by calcium hydroxide. Apparently large amounts of casein were incompatible with the sheep liver infusion. Differences of optical density and cell count between species inferred that the various species either have different light absorption maxima or different cellular optical densities. Cell size might also have played a part in this. El. perfringens had larger cells than the other two Species. The above data on cell count studies showed that the rate of growth in different media varied considerably with the Species. It was noticed that all media employed for the cultivation of 9A. pgrfringens produced about the same number of cells in both 24 and 48 hours. The only exceptions to this were liver infusion with and without the salts added, and Difco Brain—heart Infusion. It was further noticed that generally there were fewer cells of 9;. perfringens and EA. septicum 830 in the 48 hour cultures than in the 24 hour cultures. This phenomenon can be explained by the possibility that the cultures had passed their peak of growth by 48 hours and some cells were beginning to autolyse. Of course, the form- ation of spores and their subsequent release might account for this, however, virtually no spores were ever observed microscopically from these cultures in the relatively short incubation time employed in this experiment. The sheep liver infusion without additives, supported growth of all three species, although, cell counts were low. With the addition of 0.5 per cent sodium chloride and 0.25 per cent disodium hydrogen phosphate the amount of growth was increased. This was in keeping with the findings of Jones and Clifton (1953) in that the liver undoubtedly contained some tissue glucose, and this was more readily fermented in the presence of phOSphate ions. The three base media employed, supported nearly identical amounts of growth. The base media produced an amount of growth equal to, or in most cases superior to, the 62 commercially prepared media that were tested. This indicated that the base media alone were quite satisfactory for the propagation of Clostridia species. When glucose was added to the base, no particular change in cell count resulted in the case of 9A._p§rfringens or in the 48 hour cultures of EA. septicum 830, but considerably less growth occurred in cultures of 9A. feseri #6 and in the 24 hour incubation of 9A. epticum 830 cultures. When 0.5 per cent of maltose was substituted for the glucose, growth was equal to that pro- duced by the base alone except in 48 hour cultures of CA. septicum.830 where an increased cell count was noted. As was the case with maltose, the addition of one per cent Bacto Casitone to the bases did not particularily alter the number of cells produced except in one instance, but that was a singularily dramatic one. The 48 hour cultures of 9A. feseri #6 grown in base containing one per cent Bacto Casitone produced about three times as many cells as the base alone did. Addition of 0.02 per cent glutathione to the bases gave uniformly poorer growth in El. perfringens cultures and in 24 hour cultures of El. septicum 830. The 48 hour cultures of El. septicum 830 gave cell counts about equal to base alone, but encouragingly increased cell counts were noted in all 9;. feseri #6 cultures. The greatest increase came during the 24 hour incubation, indicating that this compound brings about more rapid growth of this rather 63 slow growing and difficult to isolate pathogen. The presence of a small amount of glutathione in isolation media may well be the Spark necessary to transform some of the doubtfully positive "black leg" cases to known 9;. feseri infections. When both glucose and Bacto Casitone were added, the growth was no better than that in base alone; and in 48 hour cultures of 9A. feseri #6 growth was considerably poorer. The combination of glutathione with glucose produced about the same number of cells as the addition of glucose alone did, that is, rather poor growth resulted. This tended to indicate that the presence of glucose in the range of about 0.5 per cent has some inhibitory effect on these three organisms. Addition of Bacto Casitone and glutathione together gave about the same results as Casitone alone, except in the case of 24 hour cultures of EA. feseri #6 where growth paralleled that in glutathione alone. The combination of these two materials seemed to embody the good qualities of each. Addition of 0.5 per cent maltose together with Casitone and glutathione resulted in the best growth of Cl. perfringens and 9A. epticum 830 of any medium tested. Maltose did not seem to exhibit the inhibitory tendencies of glucose. This medium produced good growth of 9A. feseri #6, but not the excellent growth obtained when glutathione alone and Bacto Casitone plus glutathione were used. 64 Difco AC broth produced more growth of El. perfringens and 2A. septicum 830 than any other commercially prepared medium tested. Growth 0f.2l° perfringens in Difco AC broth was about equal in amount to the base media, but somewhat less growth of 9A, septicum 830 and CA. feseri #6 was pro- duced than in the base media. Difco thioglycollate broth produced growth of 9A. feseri #6 in an amount about equal to that in the base media and thus it was the best of the commercially prepared media for that Species. However, the Difco thioglycollate broth produced less growth of the other two Species than did Difco AC broth. Difco Brain-heart Infusion broth produced poor results of all three Species. The range of differences in cell counts for a given Species in one medium was also observed by Reed and Orr (1943). They accounted for this variation as the manifesta- tion of mixing a small amount of air with the medium during inoculation, thus the oxidation-reduction potential of diff- erent tubes varied slightly. From these data it appears that when bacteria are to be isolated from gangrenous tissue, a greater chance of re- covering the pathogen would prevail if a sheep liver infusion base containing 0.5 per cent maltose, one per cent Bacto Casitone and 0.02 per cent glutathione was employed. In cases where the presence of 9A. feseri is suspected, a medium of sheep liver infusion base containing 0.02 per cent 65 glutathione should be used in addition to the above medium. 66 SUMMARY It was found that the substitution of maltose for glu— cose in media used for the cultivation of the three anaerobic pathogens employed in this experiment, 9;. pgrfringens, 9A. septicum 830, and El. feseri #6, resulted in greater cell production. Addition of a small amount of glutathione to sheep liver infusion base produced rapid and heavy growth of El. feseri. Two new media of growth promoting ability superior to certain commercially prepared media are des- cribed. They were tested, and are recommended for the propagation and isolation of gas gangrene producing clostridia. 67 REFERENCES Bernheimer, A. W. 1944. Nutritional requirements and fac- tors affecting the production of toxin of Clostridium septicum. J. Exp. Med., 80, 321-331. Brewer, J. H. 1940. A clear liquid medium for "aerobic" cultivation of anaerobes. J. of Bact., 39, 10. Brewer, J. H. 1942. A new Petri dish cover and technique for use in the cultivation of anaerobes and micro- aerophiles. Science, 95, 587-589. Bridges, A. E., Pepper, R. E., and Chandler, V. L. 1952. Apparatus for large scale anaerobic cultures in an atmOSphere of helium. J. of Bact., 64, 137-138. Brown, J. H., and Brewer, J. H. 1938. A method for utilizing illuminating gas in the Brown, Fildes and McIntosh or other anaerobe jars of the Laidlaw principle. J. Lab. and Clin. Med., 23, 870-874. Fildes, P. A., and McIntosh, J. 1921. An improved form of McIntosh and Fildes anaerobic jar. Brit. J. Exp. Path., 2, 153-155. Hayward, N. 1941. Rapid identification of Clostridium welchii by the Nagler reaction. Brit. Med. J., 1, EIIZEII Hayward, N. 1943. The rapid identification of Clostridium welchii by Nagler test in plate cultures. J. Path. BfiCt. ’ 55, 285-2930 Jones, L. W., and Clifton, C. C. 1953. Metabolism and nutrition of Clostridium feseri. J. of Bact., 65, 560' 564 e Kellet, C. E. 1939. The early history of gas gangrene. Ann. Med. Hist., 1, 452. This quotation cited from: Dubos, R. J., et al. 1952. Bacterial and mycotic infections of man. J. B. Lippincott 00., Philadelphia. Macfarlane, R. G., Oakley, C. L., and Anderson, C. G. 1941. Hemolysis and the production of opalescence in serum and lecithovitellin by the toxin of Clostridium welchii. J. Path. Bact., 52, 99-103. 68 Malin, B., and Flinn, R. K. 1951. The use of a synthetic resin in anaerobic media. J. of Bact., 62, 349. Marshall, M. S., and Nordby, H. P. 1942. Anaerobic plates. JO Of B80t., 44’ 619-6210 McClung, L. S. 1940. The use of dehydrated thioglycollate medium in the enrichment of spore-forming anaerobic bacteria. J. of Bact., 40, 645-648. McClung, L. S. 1943. Use of dried tissue in beef heart medium for anaerobic bacteria. J. of Bact., 46, 215- 216. McClung, L. S. 1943b. Thioglycollate media for the culti- vation of pathogenic clostridia. J. of Bact., 45, 58. McClung, L. S., Heidenreich, P., and Toabe, R. 1946. A medium for the Nagler plate reactions for the identi- fication of certain clostridia. J. of Bact., 51, 751- 752. McClung, L. S., and Toabe, R. 1947. The egg yolk plate reaction for the presumptive diagnosis of Clostridium gporogenes and certain Species of the gangrene and botulinum groups. J. of Bact., 53, 139-147. McIntosh, J., and Fildes, P. A. 1916. New apparatus for the isolation and cultivation of anaerobic micro-organisms. Lancet, 1, 768. McLeod, J. W., and Gordon, J. 1923. The problem of intoler- ance of oxygen by anaerobic bacteria. J. Path. Bact., 26, 332-343. Mueller, J. H., and Miller, P. A. 1941. A modification of Rosenthal's chromium—sulfuric method for anaerobic cultures. J. of Bact., 41, 301-303. Nagler, F. P. 0. 1939. Observations on a reaction between the lethal toxin of Clostridium welchii (Type A) and human serum. Brit. J. Exp. Path., 20, 473-485. Quastell, J. H., and Stephenson, M. 1926. Experiments on "strict" anaerobes: I, The relationship of B. Sporo- genes to oxygen. Biochem. J., 20, 1125-1137. 69 Reed, G. B., and Orr, J. H. 1943. Cultivation of anaerobes and oxidation-reduction potentials. J. of Bact., 46, 475-4800 Robertson, M. 1916. Notes upon certain anaerobes isolated from wounds. J. Path. Bact., 20, 327-348. Rosenthal, L. 1937. "Chromium-sulfuric acid" method for anaerobic cultures. J. of Bact., 34, 317-320. Spray, R. S. 1930. An improved anaerobic culture dish. J. Lab. and Clin. M8d., 16, 205-2060 Spray, R. S. 1936. Semisolid media for cultivation and identification of Sporulating anaerobes. J. of Bact., 32, 135-155. 7" _‘_._:c" 7. “ ‘.“ ‘, r.- ‘ui' rt, i‘J S‘MJ‘J if” M Aug13 ’5‘ llllllllllllllllllllllllllllllllllllIIIH 0 0 2 2 3 4 1 3 0 3 9 2 1 3 lllllllllllllélllllllll