Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
While the above conditions are favorable to the formation of pus, the
process of suppuration must now be recognized as an infective process
due to the propogation of bacteria (mainly chain forms—_Streptococcus
pyogenes_—cluster groups—_Staphylococcus py__ogenes_—and rod
forms—_Bacillus pyogenes_). These or other bacteria are found in the pus
of acute abscesses, and when absent in chronic abscesses are to be
considered as having perished since the abscess was recent and active.
Inoculation of a rabbit with an excess of the pus of an acute abscess
produces general purulent infection (pyæmia) and early death; from a
medium dose an abscess is produced; while from a small dose there is no
effect whatever. In the latter case the bacteria are overcome and
devoured by the abundance of vitally potent white blood globules and
tissue cells. This pus-forming action of these bacteria explains the
great difference in results in wounds exposed to the air and those in
the interior of the body and far removed from air and its floating
bacteria. A broken bone, with no wound in the skin and little injury to
parts around the fracture, is readily repaired without any formation of
pus, if merely kept still and immovable; whereas a broken bone,
continuous with a wound through the skin, always tends to form pus or
become otherwise infected, and is extremely dangerous even to life. The
tendency of every open sore is to form pus on its surface but this may
be arrested and avoided by preventing the access of germs, or by a free
use of disinfectants and a covering which shall arrest and filter out
the germs. Similarly in an abscess, evacuation followed by the injection
of disinfectants, without the formation of any perceptible permanent
opening to the outer air, will put a stop to the pus-formation. The
subjection of an inflamed part to the control of these pus-forming
bacteria is dependent on the lowered vitality and power of resistance of
the inflamed tissues, and of the white cells of their circulating blood.
Healthy parts can successfully resist them, though they are constantly
present in surrounding air and on objects, but in this as in all other
cases, of bacterial infection, so soon as the tissue is injured,
inflamed and lowered in its power of vital resistance, the pyogenic
bacteria assail it successfully. Hence, too, the more abundant
exudations of lymph, the centres of which are farthest removed from the
healthy tissues and from nourishment, are the most prone to suppuration.
That the germs can make their way to such deep-seated exudations in the
substance of solid tissues is to be accounted for by their gradual
advance through the inflamed and weakened structures from the adjacent
skin or mucous membrane, or in some instances by reason of their
presence in small numbers in the blood. It is further noteworthy that
those animals in which suppuration does not occur readily are such as
have a special power of resistance to some other organic poisons. Thus
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