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
_Symptoms._ The disease sets in suddenly, yet prodromata may
occasionally be observed, such as dullness, langor, trembling over the
flanks and elbows, weakness, prominent, weeping, congested eyes, and low
moans when moved. Then follow hyperthermia, at first slight, heat of the
mouth without injection, epithelial concretions or erosions and diarrhœa
(sometimes there is straining without passage at first). Then follows a
period of profuse and fœtid discharge, with relaxed or open anus, the
liquids escaping involuntarily and smearing the tail, perineum, thighs
and hocks, and the protruded mucosa showing dark red congestions and
even commencing erosions. Colicy pains, slight at first, have now become
intense, and the right side of the abdomen is very tender to the touch
and fluctuates noisily when manipulated. Appetite and rumination are
lost. Salivation may be present, the saliva falling in films to the
ground. The buccal epithelium is softened, loosened and easily detached
by the finger, leaving raw sores. The temperature which has risen slowly
(not as in rinderpest abruptly) may reach 106°. The hair becomes dry,
the skin harsh, rigid, and firmly adherent to the deeper parts, and
often cold, while the muzzle is hot, dry and even cracked.
At a still more advanced stage, the pulse is small, the temperature
lowered, the animal very weak and unsteady and inclined to lie, great
emaciation, sunken glazed eye, drooping head, ears and eyelids, and a
general fœtor from the skin as well as the dejections, which attracts
crowds of flies. By this time there may be passed only bloody mucus
mixed with eschars, and having a most repulsive odor.
It is a noticeable fact that the fæces are alkaline, and in man the
saliva is acid and destitute of its glycogenic properties, the stomach
secretions are alkaline and no longer peptogenic, and the secretion of
bile is arrested until improvement sets in.
_Course._ _Duration._ Some mild cases recover in two or three days, and
in violent cases death may occur at this early date. More commonly the
disease continues for two or three weeks before ending in death or
recovery. Some merge into the chronic form and may last for months and
die in a condition of marasmus. These last cases become mere walking
skeletons, with pallid mucosæ, sunken eyes, scurfy hide-bound skins
covered with vermin, and the frequently everted rectum is congested and
covered with ulcers and eschars. _Mortality_ is _from_ 50 to 80 per
cent.
_Complications._ Most complications are in the direct line of septic
infection. Among the most common are hepatic abscess, gangrenous
pneumonia, and extensive gangrene of the intestinal walls. In man
arthritis, paralysis, parotitis and other secondary affections are seen.
In the animal as well we may expect necrotic centres in any organ, from
the supervention of a general septicæmia.
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