Bacteriæmia in Pneumonia

(1) Tables are shown which record the course of bacteri?mia investigated by frequent blood-cultures in a series of cases of pneumonia.(2) The proportion of cases having a bacteri?mia in the course of the disease agrees fairly closely with other findings both in this country and in America.(3) Attention is drawn to the frequency with which the organisms disappear from the blood in the absence of any specific treatment, and to the frequency of recovery of bacteri?mic cases.(4) It is therefore submitted that it is unsafe to regard the disappearance of a bacteri?mia as the direct result of specific serum treatment, and that this cannot be used as evidence of successful serum therapy.     

Sclerotic Lesions of Bone in Myeloma

Osteolytic defects and osteoporosis are common in myeloma, while sclerotic lesions of bone are rare. Eighteen patients with increased bone density have been described in the literature and five patients are presented in this report. Diffuse increase in skeletal density, similar to that seen in the myelofibrosis-myelosclerosis syndrome, occurred in two patients, and progressive multiple focal areas of sclerosis with splenomegaly in a third. Two patients had solitary areas of sclerosis. Although there was increased cortical and trabecular bone, osteoblastic activity was normal on histological sections. Whether the sclerosis was due to new bone formation or interference with bone resorptive processes could not be determined. Patients with polycythemia, myelofibrosis and myelosclerosis have been found to have, or later develop, myeloma. This has led to the suggestion that myeloma be included among the myeloproliferative disorders. At present the evidence for this interrelationship is the frequency of the association of these diseases.     

Carbonic anhydrase: an ultrastructural study in rat cerebellum

Summary The cellular and intracellular distribution of carbonic anhydrase isozyme II in rat cerebellum has been investigated with the electron microscope by the indirect antibody immunohistochemical technique. Unequivocal evidence is presented supporting the view that this enzyme is exclusively localized in oligodendrocytes. Myelin does not appear to contain detectable amounts of carbonic anhydrase though it is present in oligodendrocyte processes and in the layer of oligodendrocyte cytoplasm frequently seen to coat the external surface of myelinated fibres. The immune precipitate is found to be confined to the cytosol and the cytosolic surfaces of intracellular membranes. The data are discussed in relation to the possible function of the enzyme and the role of oligodendrocytes in the central nervous system.