Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
In more benign cases the synovial exudate from the joint cavities is
simply cloudy, contains no infectious germs, and proves sterile on
attempts at cultivation. In such cases there is no abscess formation.
But most frequently this stage of serous exudation is only temporary,
and the articular fluid, which at first seems sterile, may, when tested
some days later by means of cultures, reveal the presence of organisms.
The synovia accumulated within the joint sometimes contains fibrinous
flocculi, which are at first small, but later form veritable coagula,
filling up and thickly coating all the prominences of the joint and
moulding themselves on the extremities of the bones constituting the
articulation. Sometimes the cartilages undergo very rapid ulceration,
the subjacent layers of bone become inflamed, and the osteoarthritis
which develops is so severe and painful that the patients are forced to
remain absolutely still, and are quite incapable of rising. The lesions
may remain stationary at this point. In other cases suppuration occurs
in the articulation itself, the wall of the synovial cavity, the
periarticular tissues, and the skin soften; then the abscess breaks,
giving rise to open suppurating arthritis. Animals are rarely kept long
enough to become so gravely affected; many die before this stage, and
the others are usually slaughtered. Moreover, they rapidly perish from
exhaustion and from visceral complications of a pyæmic character.
[Illustration: $1]
In many cases post-mortem examination reveals nothing whatever in the
region of the umbilical cord (through which infection has occurred), but
the germs of infection may be found in the blood or general circulation;
or again, careful investigation may show ulceration of the umbilicus,
lesions of omphalitis, of ascending umbilical arteritis in consequence
of infection of the thrombus, of umbilical phlebitis, or of infective
peritonitis, etc. The infectious agent reaches the liver through the
blood-vessels, then attains the posterior vena cava, after which the
infection assumes the gravest possible character, producing
complications like arthritis and purulent infection, with the formation
of multiple abscesses in the depths of the viscera.
The _Staphylococcus aureus_ and various streptococci are the most
frequent but not the only causes of these infections.
=The diagnosis= is not difficult, provided the disease be not mistaken
for true rheumatism. As true rheumatism is very rare in young animals,
and as, on the other hand, attention is aroused by the presence of
lesions of the umbilicus and by the existence of diarrhœic enteritis,
rachitis, etc., there is seldom room for doubt.
=Prognosis.= The prognosis is extremely grave whenever the case results
from infection of the umbilicus. French statistics place the mortality
at 90 per cent. and German at 75 per cent.
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