Disease in captive wild mammals and birds : $b incidence, description, comparisonFox, Herbert
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Disease in captive wild mammals and birds : $b incidence, description, comparison
Fox, Herbert
Veterinary medicine
Three explanations are given in human medicine for the origin of this
lesion. Some observers assume a direct transmission of bacteria up the
ureter from an infected bladder or urethra, in a direction contrary to
the urinary current. This, it is believed by some can occur only in the
presence of physical obstruction, stone, kink, or pressure of adjacent
masses upon the ureter, whereby its blood supply is damaged and
infection facilitated. Others would explain the path of infection as the
lymphatics of the ureteral wall which are infected at the opening in the
bladder by a deep seated cystitis or by infection from a periproctitis
or from the female genitalia. Still another explanation is offered by
those who do not credit ascending infections. They would have it that
pyelitis arises from bacteria in the blood stream and only in the
presence of injury (_calculus_), ureteral dilation (slowly progressive
stenosis, or kinks, floating kidney, pressure by pregnant uterus) and
similarly operative factors. There should be excluded from this category
cases of chronic nephrolithiasis, and of stone only in the pelvis. Under
such conditions it is inevitable that a low grade of fibrosis with
damage to the secretory structures should exist, even in the absence of
active bacterial invasion. The cases are only important for our present
subject when active bacterial infection is implanted upon them.
Among our autopsies there have been found fourteen cases of ascending
nephritis and seven cases of pyelitis; the most instructive examples are
mentioned briefly as follows: Five of this twenty-one were associated
with general infectious diseases (three septicemias) and presented no
evidence of ascending obstruction. Two of this five were a bear and a
fox, the former suffering with streptothricosis septicemia, the latter
with distemper; one was a fox whose pelvic and renal lesion seemed
entirely primary for no apparent focus was detected; two were birds with
acute general infection. These cases seem therefore to be instances of
primary pyelitis. The following group includes cases with inflammation
low in the urinary tract. A fox had a cystitis, urethritis and colitis,
a distinct edema and congestion being found in the pelvis around the
rectum. Two opossums had cystitis, one due to a traumatic urethritis,
the other secondary to a prostatitis of undetermined causation. A
raccoon had a chronic cystitis with swelling and edema of the first
parts of ureter. A parrakeet showed ureteritis, pyelitis and nephritis
from simple cloacitis.
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