Text book of veterinary medicine, Volume 2 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 2 (of 5)
Law, James
Veterinary medicine
In man three distinct forms are recognized. 1. =Catarrhal dysentery=,
with frequent small stools of rosy mucus, and blood; and later pus,
scybala, passed with tenesmus, but no sloughs and little odor; 2.
=Diphtheritic dysentery=, with thin watery bloody discharges having a
pronounced cadaveric odor; also tenesmus, sloughs, and increasingly
offensive smell; 3. =Amœbic dysentery= with frequent bloody mucus
stools, tenesmus sloughs and fœtor, but with distinct remissions or
intermissions. With the latter, amœbæ are found abundantly and more so
in the more acute cases with alkaline stools. They are found in the
fresh warm stools, 5 to 8 times the size of a red blood globule and
oval, pyriform or irregular in form, with nucleus and nucleolus.
Kartulis and Hlava succeeded in inducing dysentery in cats and dogs by
injecting pure culture of the amœba, and the former testifies that dogs
in Egypt take the disease spontaneously, and their stools contain the
same amœba coli as is found in man.
Cunningham who investigated the subject in India found amœba in the
bowels of healthy men, and also abundantly in the fæces of horses and
cows, which have naturally the requisite alkaline reaction.
The mere presence of the amœba therefore may not be sufficient to cause
the disease, but with the requisite predisposition and an alkaline
condition of the intestinal contents, it is manifestly an important
factor in the disease.
The causative microbes in other forms of dysentery have not been
identified, but under the requisite irritation and local debility one
can easily conceive of the ordinary bacterial ferments of the intestine,
concurring with others introduced from without, in determining the
morbid condition. With better hygiene the disease is steadily
diminishing in man and beast, though violent epizootics (in cattle)
still appear in connection with wars (siege of Belfort, 1870, Zundel),
and carriage by sea in hot climates (Mediterranean trade, Bouley).
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