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Paul Ehrlich improved the tuberculosis test overnight

The day after Robert Koch announced the tuberculosis bacterium in March 1882, Paul Ehrlich improved Koch's method of staining it, making the deadly germ far easier to detect.

Paul Ehrlich
Paul Ehrlich · 1854–1915
Person
Paul Ehrlich
Lived
1854–1915
Field
Immunology & chemotherapy
From
German

The story

Paul Ehrlich met Robert Koch early. As a medical student in Breslau he attended Koch's presentation there, from 30 April to 2 May 1876, of his work on the life cycle of the anthrax germ. By 1882 Koch was working at the Imperial Public Health Office in Berlin, and Ehrlich, an assistant at the Charité hospital, had become an expert on the chemistry of dyes.

On 24 March 1882 Koch gave a historic lecture in Berlin announcing that he had identified the bacterium that causes tuberculosis. Ehrlich was in the audience and later called it his greatest experience in science.

He went straight to work. By the next day he had already improved Koch's method for staining the tuberculosis bacillus, using his deep knowledge of dyes to make the organism stand out clearly under the microscope. Koch welcomed the improvement without reservation, and from then on the two men were bound in friendship. Ehrlich published his method later that year. According to his Nobel biography it became the basis of the modifications introduced by Franz Ziehl and Friedrich Neelsen, and the Gram method of staining bacteria was also derived from it.

The disease touched Ehrlich personally. He contracted tuberculosis in the laboratory and in 1888 and 1889 travelled to Egypt and other countries to recover. In 1890, at Koch's request, he took over the tuberculosis station at a public hospital in Berlin-Moabit, and he soon joined Koch at his new Institute for Infectious Diseases, where he began the immunological work that would bring him the Nobel Prize.

The acid-fast stain that grew from Ehrlich's method, known as the Ziehl-Neelsen stain, is still a standard diagnostic tool. Together with auramine staining, it is widely used to diagnose tuberculosis quickly from samples such as sputum, and also to detect leprosy and related infections. Reliable staining turned the microscope into a practical tool for confirming the disease directly from a patient's sample.

Why it matters

Staining sputum samples under the microscope remains a fast, cheap way to detect tuberculosis, especially in low-resource settings where the disease is still a major killer.

About Paul Ehrlich

Nobel-winning German Jewish physician who imagined the “magic bullet”, founded chemotherapy and, with Salvarsan in 1909, produced the first effective drug against syphilis.

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Paul Ehrlich
1854–1915 · Immunology & chemotherapy
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Sources

Another act of tikkun olam. This is part of tikkun olam, the Jewish idea of repairing the world, and every one of us can add to it.

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