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._ Mercurial stomatitis is a local manifestation of a general
poisoning. Salivation is one of the most prominent phenomena, the watery
saliva falling in streams from the angles of the mouth. The buccal
mucosa generally becomes red and swollen and the tongue becomes indented
at the edges by pressure against the molars. The gums especially suffer
and the teeth raised in their sockets by the swelling of the periodontal
membrane, become loose, and easily detached. The mucosa of the gums
becomes soft and spongy, bleeds readily under pressure and soon shows
erosions and ulcers. This condition extends to the lips, cheeks and
lower surface of the tongue while the upper surface of the latter organ,
the fauces and pharynx commonly escape. The breath and buccal
exhalations are very offensive, and the animal loathes food, and has
little power of mastication or deglutition. Sometimes the ulcers extend
even to the bones.
Along with these local symptoms there are usually gastro-intestinal
irritation, tympany, inappetence, continuous rumbling in the belly;
badly digested fœtid stools, often diarrhœa, small weak pulse,
hyperthermia, accelerated breathing, cough, and great langor and
prostration. A tendency to blood extravasation is shown in sanguineous
fæces, epistaxis, bleeding from the mouth, the throat or the womb and
even into the skin. Pregnant females may abort. The eyes are dull and
sunken, and the conjunctiva yellow. Eczematous or pustular eruptions may
appear on the skin on the nose, lips, neck, back, loins, croup or
perineum.
_Lesions._ In addition to the lesions described above, there are usually
gastro-intestinal inflammation, œdema of the peritoneum and pleura, in
the lung as well as in the serosæ, (pneumonia is not uncommon especially
in sheep), intestines, kidneys and muscles, hæmorrhagic spots are not
uncommon, the blood forms a loose black coagulum, and the encephalon is
anæmic and softened.
_Treatment._ The first consideration is to cut off the supply of
mercury. Mercurial applications on the skin should be washed off with
tepid water and if necessary soap. An application of sulphide of
potassium will precipitate the mercury in an insoluble form. For
mercurial agents in the alimentary canal an emetic may be given (if the
animal is one susceptible to emesis) followed by a saline laxative. This
may be combined with or followed by raw eggs, mucilage, wheat gluten or
other albuminoid, sulphide of potash or sulphur, to precipitate the
mercury and prevent its absorption. Later, when the bowels have been
cleared, iodide of potassium in small doses will serve to dissolve and
remove what mercury may be lodged in the tissues.
Locally one of the best applications is chlorate of potash as a mouth
wash, 2 drs. to the quart of water. To this may be added tannic acid or
other vegetable astringent and even alcohol.
Finally a course of iron and bitter tonics will serve a good purpose in
restoring the general tone.
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