| Abstract: | Acid-fastness of the tubercle bacteria has long been used as the common method of diagnosis in sputum. It has been suggested sometimes that tuberculosis could occur without demonstrable bacteria, as well as with acid-fast bacteria, non-acid-fast bacteria or granules. It is shown in this paper that some of the sputa which are negative to the standard staining technic will show rods, rods with round polar bodies, or similar bodies without the rod portion. It is also pointed out that the decolorization of the smears by acid alcohol be shortened to approximately 3 to 5 seconds and picric acid be used as a counterstain. These forms are apparently the varying stages of the loss of acid-fastness. It is essential that a counterstain be used which will not interfere, and yellow is indicated because it does not absorb the red rays. Sputa which are negative to the standard acid-fast staining technic but which come from persons with a variable intermittent fever should be stained by this modified technic before they are pronounced germ-free. |
