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"The things that produce the well-known 'gas gangrene' of the trenches, the gas phlegmon bacilli all sorts, the bacillus aerogenes capsulatus, bacillus proteus, pyogenic cocci, and others, actively gas-forming microbes that can't live in air. The method I took to develop and discover them was that of Col. Sir Almroth Wright of the British army medical corps." "And that is what was on the bullet?"
The anaërobe most constantly present is the bacillus ærogenes capsulatus, usually in association with other anaërobes, and sometimes with pyogenic diplo- and streptococci. According to the mode of action of the associated organisms and the combined effects of their toxins on the tissues, the gangrenous process presents different pathological and clinical features.
It follows infection of lacerated wounds with the bacillus ærogenes capsulatus, usually in combination with other anaërobes, and its main incidence is on the muscles, which rapidly become infiltrated with gas that spreads throughout the whole extent of the muscle, disintegrating its fibres and leading to necrosis.