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
PHLEGMONOUS PHARYNGITIS.
Submucous inflammation and abscess. Solipeds especially. Specific, or
due to microbian pus infection. Traumatism; from foreign bodies in
tonsillar and mucous follicles, from rough, fibrous food, instruments,
etc.
As a sequel of catarrhal pharyngitis. Symptoms; as in catarrhal form,
with more swelling and tenderness, glandular swelling, dyspnœa, and
difficulty in swallowing; local induration followed by fluctuation and
pointing. Complications; asphyxia, laryngeal œdema, purulent or
inhalation pneumonia, pharyngeal fistula, palsy of vagus, secondary
abscesses, septicæmia. Lesions, local, general. Treatment; General and
local, fomentation—hot or cold and antiseptic. Embrocations. Lancing.
Tracheotomy.
As distinguished from catarrhal pharyngitis this is inflammation of the
submucous tissue and adjacent lymph glands, tending to abscess.
It is especially common in solipeds and rather rare in other classes of
domestic animals. As a specific infectious disease it has its type in
strangles (infectious adenitis), also in cattle in the complicated
infection of purulent tubercle, but apart from such it is often the
result of the penetration of the pus microbes from a catarrhal pharynx
into the lymph plexuses and lymph glands. Traumatism may play an
important part in causation as when vegetable barbs, awns, chaff or
seeds, or strong hairs or bristles enter the open mouths of the mucous
follicles, or the tonsillar cavities. Similarly trouble may arise from
scratches by tough, fibrous fodder, from pricks by pointed or cutting
instruments, by fractures of the hyoid, or by bruises by probangs, or
tooth rasps. An overgrowth of the last molar, and a resulting wound and
ulcer of the soft palate, and the presence of local deposits like those
of glanders and actinomycosis, are other occasions of the entrance of
the pus organisms. It will be recognized that this affection is not
necessarily due to a difference in the infecting organism, but rather of
the tissue involved, the microbes gaining the submucous tissues and
expending their violence on these instead of confining their ravages to
the surface layers of the mucosa. For this reason the deeper or
phlegmonous affection may supervene on a catarrhal inflammation which
may have already persisted for several days.
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