Zusammenfassung
Als erster fester Ansatzpunkt für das experimentelle Studium der Pathogenese der Poliomyelitis gilt der Versuch von Landsteiner und Popper aus dem Jahre 1909 (24). Die Autoren verimpften eine bakterienfreie Emulsion des Rückenmarks eines an Poliomyelitis gestorbenen Menschen intraperitoneal an Rhesusaffen. 7–14 Tage später erkrankten die Tiere u. a. mit schlaffen Lähmungen. Das der menschlichen Poliomyelitis ähnliche Krankheitsbild war mit Hilfe der gleichen Technik von einem zum anderen Affen übertragbar. Der Erreger wurde der Klasse der Viren zugeordnet. Heute, 50 Jahre später, läßt sich das klassische Problem jeder Infektionskrankheit, der Eintritt, die Ausbreitung und die Wirkung des Erregers im Organismus für die durch das Poliovirus hervorgerufene Erkrankung in einige Teilfragen gliedern.
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1.
Worin besteht der pathogenetische Elementarvorgang der Infektion ?
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2.
Welche Gewebe des Organismus werden primär infiziert ?
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3.
Welchen Weg nimmt das Virus von den primär infizierten Geweben in das ZNS?
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4.
Worin liegt die Ursache für die Erkrankung des ZNS, welche Rolle spielen Eigenschaften des Erregers, welche Rolle spielen Abwehrmechanismen des Organismus ?
Aus dem Hygiene-Institut der Universität Freiburg i. B. (Direktor: Prof. Dr. R. Haas)
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Thomssen, R. (1961). Pathogenese der Poliomyelitis. In: Wöhler, F., Vivell, O. (eds) Klinische Probleme der Poliomyelitis und verwandter Viruskrankheiten. Freiburger Symposion an der Medizinischen Universitäts-Klinik, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-94813-8_3
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